Burkemper, Nicole M
Burkemper, Nicole M is an sole proprietor health care provider with primary practice located at 1225 S Grand Blvd Fl 3 , Saint Louis MO 63104-1016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Burkemper, Nicole M can be contacted via phone (314) 977-3400.Contact Information
Primary practice address
1225 S Grand Blvd Fl 3
Saint Louis MO 63104-1016
Phone: (314) 977-3400
Fax: (314) 977-7613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 44829 | Minnesota |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2006009409 | Missouri |
Profile Details
| NPI number | 1083694087 |
|---|---|
| LBN Legal business name | Burkemper, Nicole M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | May 27th, 2025 - about last year |
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 | 1083694087 | NPPES |
| Minnesota | MEDICAID | 530633700 |
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