Burkhardt, Joshua Graham

Burkhardt, Joshua Graham is an individual health care provider with primary practice located at 555 W Sr 164 , Salem UT 84653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Burkhardt, Joshua Graham can be contacted via phone (801) 226-3600.

Contact Information

Primary practice address
555 W Sr 164 Salem UT 84653
Phone: (801) 226-3600
Fax: (801) 224-3811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-137661 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 10764222-1204 Utah

Profile Details

NPI number 1922363001
LBN Legal business name Burkhardt, Joshua Graham
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2012
Last updated Nov 27th, 2023 - about 3 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 1922363001 NPPES
Illinois MEDICAID 036137661

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