Burgoyne, Chadler R
Burgoyne, Chadler R is an individual health care provider with primary practice located at Sansum Orthopedic Clinic 4151 Foothill Rd - Bldg A, Santa Barbara CA 93110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Burgoyne, Chadler R can be contacted via phone (805) 681-7500.Contact Information
Primary practice address
Sansum Orthopedic Clinic 4151 Foothill Rd - Bldg A
Santa Barbara CA 93110
Phone: (805) 681-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD154654 | Oregon |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A99619 | California |
Profile Details
| NPI number | 1508052333 |
|---|---|
| LBN Legal business name | Burgoyne, Chadler R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2007 |
| Last updated | Apr 5th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508052333 | NPPES |
| South Carolina | Other | 1326287434 | MEDICAID DME NPI |
| South Carolina | MEDICAID | 312851 | MEDICAID DME NPI |
| South Carolina | Other | 57-0634057 | MEDICAID DME NPI |
| South Carolina | Other | 1701 | MEDICAID DME NPI |
| South Carolina | Other | 20076508 | MEDICAID DME NPI |
| South Carolina | Other | 20081812 | MEDICAID DME NPI |
| South Carolina | Other | 1225006760 | MEDICAID DME NPI |
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