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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013964311 | NPPES |
California | MEDICAID | 00A659390 |
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