Burnett, Greg

Burnett, Greg is an individual health care provider with primary practice located at 2116 Craig Road , Eau Claire WI 54701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Burnett, Greg can be contacted via phone (715) 858-4646.

Contact Information

Primary practice address
2116 Craig Road Eau Claire WI 54701
Phone: (715) 858-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28934 Wisconsin

Profile Details

NPI number 1588776934
LBN Legal business name Burnett, Greg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 4th, 2022 - about 4 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 1588776934 NPPES
Wisconsin MEDICAID 32025300

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