Burwell, Joel Burmon

Burwell, Joel Burmon is an sole proprietor health care provider with primary practice located at 9344 Three Rivers Rd , Gulfport MS 39503-4268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burwell, Joel Burmon can be contacted via phone (228) 863-0500.

Contact Information

Primary practice address
9344 Three Rivers Rd Gulfport MS 39503-4268
Fax: (228) 863-0502
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12692 Mississippi

Profile Details

NPI number 1427012657
LBN Legal business name Burwell, Joel Burmon
Credentials D.O. PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Jul 10th, 2014 - about 12 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 1427012657 NPPES
Mississippi Other P00168524 MEDICARE RR
Mississippi MEDICAID 00110020 MEDICARE RR

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