Burry, Todd S

Burry, Todd S is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burry, Todd S can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01055481A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 40328 Kentucky

Profile Details

NPI number 1215936190
LBN Legal business name Burry, Todd S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Sep 29th, 2026 - about 2 months 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 1215936190 NPPES
Kentucky Other 40328 KENTUCKY STATE LICENSE
Kentucky Other 01055481 KENTUCKY STATE LICENSE
Kentucky MEDICAID 64049620 KENTUCKY STATE LICENSE
Kentucky MEDICAID 200356290 KENTUCKY STATE LICENSE
Kentucky Other 000000221511 KENTUCKY STATE LICENSE

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