Burch, John Gordon
Burch, John Gordon is an individual health care provider with primary practice located at 4431 Starkey Rd , Roanoke VA 24018-0612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Burch, John Gordon can be contacted via phone (540) 342-0211.Contact Information
Primary practice address
4431 Starkey Rd
Roanoke VA 24018-0612
Phone: (540) 342-0211
Fax: (540) 344-5543
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0101030765 | Virginia |
Profile Details
NPI number | 1043262553 |
---|---|
LBN Legal business name | Burch, John Gordon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Jun 28th, 2011 - about 13 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 | 1043262553 | NPPES |
Virginia | MEDICAID | 006180892 |
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