Burnside, Lee

Burnside, Lee is an individual health care provider with primary practice located at 325 9Th Ave Box 359860, Seattle WA 98104-2420. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Burnside, Lee can be contacted via phone (206) 897-2110.

Contact Information

Primary practice address
325 9Th Ave Box 359860 Seattle WA 98104-2420
Phone: (206) 897-2110
Fax: (206) 744-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00033954 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD33954 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD33954 Washington

Profile Details

NPI number 1497744684
LBN Legal business name Burnside, Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Oct 26th, 2012 - 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 1497744684 NPPES
Washington Other P00307116 RAILROAD MC # VM
Washington MEDICAID 8205866 RAILROAD MC # VM
Washington Other US5478718 RAILROAD MC # VM
Washington Other 0039581 RAILROAD MC # VM
Washington Other 9385BU RAILROAD MC # VM

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