Burkett, Jared Locke
Burkett, Jared Locke is an sole proprietor health care provider with primary practice located at 3610 Springhill Memorial Dr N , Mobile AL 36608-1162. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Burkett, Jared Locke can be contacted via phone (251) 410-3600.Contact Information
Primary practice address
3610 Springhill Memorial Dr N
Mobile AL 36608-1162
Phone: (251) 410-3600
Fax: (251) 410-3700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 30297 | Alabama |
Profile Details
| NPI number | 1417114570 |
|---|---|
| LBN Legal business name | Burkett, Jared Locke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2008 |
| Last updated | Sep 12th, 2014 - about 12 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 | 1417114570 | NPPES |
| Alabama | MEDICAID | 161659 |
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