Burch, Micah Matthew

Burch, Micah Matthew is an individual health care provider with primary practice located at 3410 Worth St , Dallas TX 75246-2003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Burch, Micah Matthew can be contacted via phone (214) 370-1000.

Contact Information

Primary practice address
3410 Worth St Dallas TX 75246-2003
Phone: (214) 370-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M9889 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M3964 Texas

Profile Details

NPI number 1932367893
LBN Legal business name Burch, Micah Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Aug 14th, 2014 - about 10 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 1932367893 NPPES
Texas Other 8DE930 BCBS
Texas Other P01208492 BCBS
Texas MEDICAID 199083002 BCBS

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