Burke, Stephen
Burke, Stephen is an individual health care provider with primary practice located at 240 Medical Park Blvd Ste 3000, Bristol TN 37620-7346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burke, Stephen can be contacted via phone (423) 990-2400.Contact Information
Primary practice address
240 Medical Park Blvd Ste 3000
Bristol TN 37620-7346
Phone: (423) 990-2400
Fax: (423) 990-2407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD39699 | Tennessee |
Profile Details
| NPI number | 1851392492 |
|---|---|
| LBN Legal business name | Burke, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Sep 16th, 2009 - about 17 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 | 1851392492 | NPPES |
| Virginia | MEDICAID | 010210623 | |
| Virginia | MEDICAID | 3833880 |
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