Burke, Lola J
Burke, Lola J is an individual health care provider with primary practice located at 1189 Tibwin Rd , Mc Clellanville SC 29458-9405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Burke, Lola J can be contacted via phone (843) 887-3274.Contact Information
Primary practice address
1189 Tibwin Rd
Mc Clellanville SC 29458-9405
Phone: (843) 887-3274
Fax: (843) 887-3817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39113 | South Carolina |
Profile Details
| NPI number | 1972897684 |
|---|---|
| LBN Legal business name | Burke, Lola J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2011 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972897684 | NPPES |
| South Carolina | MEDICAID | 3810027539 |
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