Burke, Philip R.

Burke, Philip R. is an sole proprietor health care provider with primary practice located at 1419 Beacon St , Brookline MA 02446-4808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Burke, Philip R. can be contacted via phone (617) 983-0280.

Contact Information

Primary practice address
1419 Beacon St Brookline MA 02446-4808
Phone: (617) 983-0280
Fax: (617) 934-1789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 217495 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 217495 Massachusetts

Profile Details

NPI number 1083611826
LBN Legal business name Burke, Philip R.
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Nov 21st, 2020 - about 6 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 1083611826 NPPES
Massachusetts MEDICAID 2099489
Massachusetts Other J28796
Massachusetts Other 468341

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