Burg, Joan Marie

Burg, Joan Marie is an individual health care provider with primary practice located at 2500 Grant Road , Mountain View CA 94040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Burg, Joan Marie can be contacted via phone (650) 940-7055.

Contact Information

Primary practice address
2500 Grant Road Mountain View CA 94040
Phone: (650) 940-7055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C43159 California

Profile Details

NPI number 1962457200
LBN Legal business name Burg, Joan Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 20th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962457200 NPPES
California MEDICAID 00C431590

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