Burnett, David M

Burnett, David M is an individual health care provider with primary practice located at 1005 Charlevoix Dr Suite 200, Grand Ledge MI 48837-8186. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burnett, David M can be contacted via phone (517) 627-3030.

Contact Information

Primary practice address
1005 Charlevoix Dr Suite 200 Grand Ledge MI 48837-8186
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002388 Michigan

Profile Details

NPI number 1912981028
LBN Legal business name Burnett, David M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated May 6th, 2009 - about 14 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 1912981028 NPPES
Michigan Other 1016807 MCLAREN
Michigan Other DB002388 MCLAREN
Michigan MEDICAID 4487110 MCLAREN
Michigan Other 900C36357 MCLAREN
Michigan MEDICAID 4487094 MCLAREN
Michigan Other 200000001542 MCLAREN
Michigan Other P00065776 MCLAREN

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