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
Phone: (228) 863-0500
Fax: (228) 863-0502
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427012657 | NPPES |
| Mississippi | Other | P00168524 | MEDICARE RR |
| Mississippi | MEDICAID | 00110020 | MEDICARE RR |
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