Burckle, John W.

Burckle, John W. is an individual health care provider with primary practice located at 727 Hospital Dr , Shelbyville KY 40065-1660. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Burckle, John W. can be contacted via phone (502) 367-3360.

Contact Information

Primary practice address
727 Hospital Dr Shelbyville KY 40065-1660
Phone: (502) 367-3360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1227 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1008 Kentucky

Profile Details

NPI number 1053354068
LBN Legal business name Burckle, John W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 22nd, 2024 - about 10 months 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 1053354068 NPPES
Kentucky MEDICAID 7100011930
Kentucky MEDICAID 3663192
Kentucky Other 4097067

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