Burke, Gregory William
Burke, Gregory William is an individual health care provider with primary practice located at 1798 North Garey Avenue , Pomona CA 91767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Burke, Gregory William can be contacted via phone (909) 865-9600.Contact Information
Primary practice address
1798 North Garey Avenue
Pomona CA 91767
Phone: (909) 865-9600
Fax: (909) 865-9623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G72365 | California |
Profile Details
| NPI number | 1407940117 |
|---|---|
| LBN Legal business name | Burke, Gregory William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Oct 2nd, 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 | 1407940117 | NPPES |
| California | MEDICAID | 00G723650 |
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