Burden, Mary
Burden, Mary is an sole proprietor health care provider with primary practice located at 3850 Shore Dr Ste 315 , Indianapolis IN 46254-4693. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Burden, Mary can be contacted via phone (317) 682-2038.Contact Information
Primary practice address
3850 Shore Dr Ste 315
Indianapolis IN 46254-4693
Phone: (317) 682-2038
Fax: (317) 920-7482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 02002905A | Indiana |
Profile Details
| NPI number | 1598725780 |
|---|---|
| LBN Legal business name | Burden, Mary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 20th, 2022 - 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 | 1598725780 | NPPES |
| Indiana | MEDICAID | 200540580A |
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