Burnette, Brian Leslie

Burnette, Brian Leslie is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Burnette, Brian Leslie can be contacted via phone (920) 432-6049.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Phone: (920) 432-6049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49937 Minnesota
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 60800 Wisconsin

Profile Details

NPI number 1952523680
LBN Legal business name Burnette, Brian Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Dec 20th, 2021 - about 5 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 1952523680 NPPES
Minnesota MEDICAID 050198000
Minnesota Other P00428374

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