Bourke, Sean Edwin

Bourke, Sean Edwin is an individual health care provider with primary practice located at 170 Alameda De Las Pulgas , Redwood City CA 94062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bourke, Sean Edwin can be contacted via phone (650) 369-5811.

Contact Information

Primary practice address
170 Alameda De Las Pulgas Redwood City CA 94062
Phone: (650) 369-5811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A65939 California

Profile Details

NPI number 1013964311
LBN Legal business name Bourke, Sean Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Nov 21st, 2007 - about 17 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 1013964311 NPPES
California MEDICAID 00A659390

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