Burdick, Timothy E
Burdick, Timothy E is an individual health care provider with primary practice located at 100 Hitchcock Way Family Practice, Manchester NH 03104-4125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Clinical Informatics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Burdick, Timothy E can be contacted via phone (603) 629-1870.Contact Information
Primary practice address
100 Hitchcock Way Family Practice
Manchester NH 03104-4125
Phone: (603) 629-1870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17748 | New Hampshire |
| Allopathic & Osteopathic Physicians / Clinical Informatics | 2083C0008X | 17748 | New Hampshire |
Profile Details
| NPI number | 1245257195 |
|---|---|
| LBN Legal business name | Burdick, Timothy E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Aug 22nd, 2016 - about 9 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 | 1245257195 | NPPES |
| Vermont | MEDICAID | 1011669 |
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