Burdette, John
Burdette, John is an individual health care provider with primary practice located at 924 N Howe St , Southport NC 28461-3099. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Burdette, John can be contacted via phone (910) 457-4739.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 14099 | West Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 3801 | North Carolina |
Profile Details
| NPI number | 1942288618 |
|---|---|
| LBN Legal business name | Burdette, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Apr 1st, 2024 - about last year |
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 | 1942288618 | NPPES |
| West Virginia | Other | 1053225 | WV DWC |
| West Virginia | Other | 001718056 | WV DWC |
| West Virginia | MEDICAID | 0051084000 | WV DWC |
| West Virginia | MEDICAID | 0051084000 | WV DWC |
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