Burcham, Gregory W.
Burcham, Gregory W. is an individual health care provider with primary practice located at 501 E. Hampden Avenue , Englewood CO 80113-2702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Burcham, Gregory W. can be contacted via phone (303) 788-6911.Contact Information
Primary practice address
501 E. Hampden Avenue
Englewood CO 80113-2702
Phone: (303) 788-6911
Fax: (303) 306-7753
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 37782 | Colorado |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0037782 | Colorado |
Profile Details
NPI number | 1942283569 |
---|---|
LBN Legal business name | Burcham, Gregory W. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2005 |
Last updated | Aug 4th, 2015 - about 9 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 | 1942283569 | NPPES |
Colorado | MEDICAID | 32889879 | |
Colorado | Other | 930095263 |
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