Burdick, Jeremy K
Burdick, Jeremy K is an individual health care provider with primary practice located at 1501 S Yale St 252, Flagstaff AZ 86001-7304. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Burdick, Jeremy K can be contacted via phone (928) 774-1811.Contact Information
Primary practice address
1501 S Yale St 252
Flagstaff AZ 86001-7304
Phone: (928) 774-1811
Fax: (928) 774-2006
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN125139 | Arizona |
Profile Details
NPI number | 1518309350 |
---|---|
LBN Legal business name | Burdick, Jeremy K |
Credentials | FPN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2013 |
Last updated | Jul 22nd, 2013 - about 12 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.
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