Burke, Brent C
Burke, Brent C is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Burke, Brent C can be contacted via phone (317) 338-2345.Contact Information
Primary practice address
2001 W 86Th St
Indianapolis IN 46260-1902
Phone: (317) 338-2345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01031147 | Indiana |
Profile Details
| NPI number | 1558355826 |
|---|---|
| LBN Legal business name | Burke, Brent C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Apr 20th, 2016 - about 10 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 | 1558355826 | NPPES |
| Indiana | MEDICAID | 100236540 |
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