Burkett, Mark A.

Burkett, Mark A. is an individual health care provider with primary practice located at 1270 E State Road 205 Suite 150, Columbia City IN 46725-9499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burkett, Mark A. can be contacted via phone (260) 248-9890.

Contact Information

Primary practice address
1270 E State Road 205 Suite 150 Columbia City IN 46725-9499
Phone: (260) 248-9890
Fax: (260) 248-9895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02002438A Indiana

Profile Details

NPI number 1972587566
LBN Legal business name Burkett, Mark A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Mar 25th, 2013 - about 13 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 1972587566 NPPES
Other 00000968827 05 UNITED HEALTHCARE
Other 3937240004 UNITED HEALTHCARE
Other 12730 UNITED HEALTHCARE
Other 4270901 UNITED HEALTHCARE
Other 000000210720 UNITED HEALTHCARE
MEDICAID 200367950 UNITED HEALTHCARE
Other 110231565 UNITED HEALTHCARE

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