Burk, Renee
Burk, Renee is an individual health care provider with primary practice located at 5249 E Terrace Dr , Madison WI 53718-8339. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Burk, Renee can be contacted via phone (608) 222-9777.Contact Information
Primary practice address
5249 E Terrace Dr
Madison WI 53718-8339
Phone: (608) 222-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39023 | Wisconsin |
Profile Details
| NPI number | 1073532750 |
|---|---|
| LBN Legal business name | Burk, Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 18th, 2017 - about 9 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 | 1073532750 | NPPES |
| Wisconsin | MEDICAID | 32596600 |
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