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
Fax: (540) 344-5543
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043262553 NPPES
Virginia MEDICAID 006180892

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