Burchett, Michael A
Burchett, Michael A is an individual health care provider with primary practice located at 855 Illini Dr Suite 304, Silvis IL 61282-2907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burchett, Michael A can be contacted via phone (309) 281-2120.Contact Information
Primary practice address
855 Illini Dr Suite 304
Silvis IL 61282-2907
Phone: (309) 281-2120
Fax: (309) 281-2129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101017495 | Michigan |
Profile Details
| NPI number | 1669672325 |
|---|---|
| LBN Legal business name | Burchett, Michael A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Jun 1st, 2021 - about 3 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 | 1669672325 | NPPES |
| Illinois | MEDICAID | 036132850-1 | |
| Illinois | MEDICAID | 1669672325 |
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