Dummer, Kirsten Bourke

Dummer, Kirsten Bourke is an individual health care provider with primary practice located at 3020 Childrens Way , San Diego CA 92123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Dummer, Kirsten Bourke can be contacted via phone (858) 966-5855.

Contact Information

Primary practice address
3020 Childrens Way San Diego CA 92123
Phone: (858) 966-5855
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X C156520 California

Profile Details

NPI number 1780642280
LBN Legal business name Dummer, Kirsten Bourke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 21st, 2018 - about 8 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 1780642280 NPPES
Wisconsin Other 34729600 MA
Wisconsin MEDICAID 578632000 MA

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