Burchett, Gail D
Burchett, Gail D is an sole proprietor health care provider with primary practice located at 35 Altadena Dr , Pueblo CO 81005-2963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burchett, Gail D can be contacted via phone (719) 564-4618.Contact Information
Primary practice address
35 Altadena Dr
Pueblo CO 81005-2963
Phone: (719) 564-4618
Fax: (480) 393-0935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C21178 | Colorado |
Profile Details
| NPI number | 1487604278 |
|---|---|
| LBN Legal business name | Burchett, Gail D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Dec 20th, 2007 - about 17 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 | 1487604278 | NPPES |
| Colorado | MEDICAID | 01211788 |
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