Burack, David A

Burack, David A is an individual health care provider with primary practice located at 744 Arden Ln Suite 225, Rock Hill SC 29732-2984. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Burack, David A can be contacted via phone (803) 329-1660.

Contact Information

Primary practice address
744 Arden Ln Suite 225 Rock Hill SC 29732-2984
Fax: (803) 329-4118
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14896 South Carolina
Other Service Providers / Specialist 174400000X 39768 North Carolina
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 14896 South Carolina

Profile Details

NPI number 1659374882
LBN Legal business name Burack, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 17th, 2013 - about 11 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 1659374882 NPPES
South Carolina MEDICAID SC148968
South Carolina Other 1659374882
South Carolina Other 19906
South Carolina MEDICAID NC8919906

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