Burnett, Bruce Thomas

Burnett, Bruce Thomas is an individual health care provider with primary practice located at 8440 W Lake Mead Blvd Suite 202, Las Vegas NV 89128-7648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Burnett, Bruce Thomas can be contacted via phone (702) 395-1070.

Contact Information

Primary practice address
8440 W Lake Mead Blvd Suite 202 Las Vegas NV 89128-7648
Phone: (702) 395-1070
Fax: (702) 395-1071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5143 Nevada

Profile Details

NPI number 1831198860
LBN Legal business name Burnett, Bruce Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated May 13th, 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 1831198860 NPPES
Nevada MEDICAID 100504243

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