Burchett, Sandra K

Burchett, Sandra K is an individual health care provider with primary practice located at 300 Longwood Ave Lo 650, Boston MA 02115-5724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Burchett, Sandra K can be contacted via phone (617) 355-6832.

Contact Information

Primary practice address
300 Longwood Ave Lo 650 Boston MA 02115-5724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 78568 Massachusetts

Profile Details

NPI number 1063594455
LBN Legal business name Burchett, Sandra K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Oct 8th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063594455 NPPES
Massachusetts MEDICAID 3118000

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