Burke, Cullen William

Burke, Cullen William is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 6000, Baton Rouge LA 70808-4300. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Burke, Cullen William can be contacted via phone (225) 765-8648.

Contact Information

Primary practice address
7777 Hennessy Blvd Suite 6000 Baton Rouge LA 70808-4300
Phone: (225) 765-8648
Fax: (225) 765-7754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 300785 Louisiana

Profile Details

NPI number 1063778645
LBN Legal business name Burke, Cullen William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2012
Last updated Feb 9th, 2022 - about 4 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 1063778645 NPPES
Louisiana Other 300785 STATE LICENSE
Louisiana MEDICAID 2199269 STATE LICENSE

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