Burchill, Keith
Burchill, Keith is an individual health care provider with primary practice located at 9119 Cinnamon Hl , San Antonio TX 78240-5401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Burchill, Keith can be contacted via phone (210) 691-0737.Contact Information
Primary practice address
9119 Cinnamon Hl
San Antonio TX 78240-5401
Phone: (210) 691-0737
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036-138194 | Illinois |
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine | 2081P0004X | 036-138194 | Illinois |
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine | 2081P0004X | S9662 | Texas |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | S9662 | Texas |
Profile Details
NPI number | 1508179052 |
---|---|
LBN Legal business name | Burchill, Keith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2010 |
Last updated | Jun 21st, 2021 - about 4 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 | 1508179052 | NPPES |
Illinois | Other | P01538726 | RAILROAD MEDICARE |
Illinois | MEDICAID | 036138194-1 | RAILROAD MEDICARE |
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