Burke, Thomas M
Burke, Thomas M is an individual health care provider with primary practice located at 6600 E 2Nd St , Casper WY 82609-4348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burke, Thomas M can be contacted via phone (307) 473-6768.Contact Information
Primary practice address
6600 E 2Nd St
Casper WY 82609-4348
Phone: (307) 473-6768
Fax: (307) 473-6766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3300A | Wyoming |
Profile Details
| NPI number | 1952335846 |
|---|---|
| LBN Legal business name | Burke, Thomas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952335846 | NPPES |
| Wyoming | Other | 106696000 | WYOMING MEDICAID |
| Wyoming | Other | 110004729 | WYOMING MEDICAID |
| Wyoming | Other | 304494 | WYOMING MEDICAID |
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