Burk, Thomas Ward
Burk, Thomas Ward is an sole proprietor health care provider with primary practice located at 1050 Live Oak Blvd , Yuba City CA 95991-3415. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burk, Thomas Ward can be contacted via phone (530) 671-1740.Contact Information
Primary practice address
1050 Live Oak Blvd
Yuba City CA 95991-3415
Phone: (530) 671-1740
Fax: (530) 671-1380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 4970 TPA | California |
Profile Details
| NPI number | 1295895985 |
|---|---|
| LBN Legal business name | Burk, Thomas Ward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1295895985 | NPPES |
| California | MEDICAID | SD0049700 |
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