Burke, Jeff Philip

Burke, Jeff Philip is an individual health care provider with primary practice located at 4045 W Royal Dr , Traverse City MI 49684-8965. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Burke, Jeff Philip can be contacted via phone (231) 935-0901.

Contact Information

Primary practice address
4045 W Royal Dr Traverse City MI 49684-8965
Phone: (231) 935-0901
Fax: (231) 935-0308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501008037 Michigan

Profile Details

NPI number 1336141704
LBN Legal business name Burke, Jeff Philip
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jun 1st, 2012 - about 14 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 1336141704 NPPES
Michigan MEDICAID 4491328
Michigan MEDICAID 4496647

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