Burk, Reed Karl

Burk, Reed Karl is an individual health care provider with primary practice located at 1105 E Allen Rd , Tahlequah OK 74464-2119. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Burk, Reed Karl can be contacted via phone (918) 931-1471.

Contact Information

Primary practice address
1105 E Allen Rd Tahlequah OK 74464-2119
Phone: (918) 931-1471
Fax: (918) 458-9977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 201 Oklahoma
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P-155 Idaho
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005469 New York

Profile Details

NPI number 1023013760
LBN Legal business name Burk, Reed Karl
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2005
Last updated Oct 28th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023013760 NPPES
Oklahoma MEDICAID 100847240A
Oklahoma MEDICAID 100849930B
Oklahoma MEDICAID 100780690B

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