Burpee, Tyler M
Burpee, Tyler M is an individual health care provider with primary practice located at 100 E Idaho St Ste 316, Boise ID 83712-6267. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Burpee, Tyler M can be contacted via phone (208) 381-7310.Contact Information
Primary practice address
100 E Idaho St Ste 316
Boise ID 83712-6267
Phone: (208) 381-7310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 228002 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD0004285 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | M11332 | Idaho |
Profile Details
| NPI number | 1700810454 |
|---|---|
| LBN Legal business name | Burpee, Tyler M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 30th, 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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