Johnson, Burke John-Erik

Johnson, Burke John-Erik is an individual health care provider with primary practice located at 2333 Biddle Ave , Wyandotte MI 48192-4668. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Johnson, Burke John-Erik can be contacted via phone (734) 246-7095.

Contact Information

Primary practice address
2333 Biddle Ave Wyandotte MI 48192-4668
Fax: (734) 246-8974
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704208709 Michigan

Profile Details

NPI number 1164729372
LBN Legal business name Johnson, Burke John-Erik
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2011
Last updated Feb 24th, 2011 - about 15 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 1164729372 NPPES
Michigan Other 4704208709 MDCH/DCH

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