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

Primary practice address
924 N Howe St Southport NC 28461-3099
Phone: (910) 457-4739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
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

Popular Providers