Burge, Bethany Kearns
Burge, Bethany Kearns is an individual health care provider with primary practice located at 608 Radam Ln , Austin TX 78745-1172. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Burge, Bethany Kearns can be contacted via phone (512) 443-5988.Contact Information
Primary practice address
608 Radam Ln
Austin TX 78745-1172
Phone: (512) 443-5988
Fax: (512) 443-5055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 125060265 | Illinois |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | U1870 | Texas |
Profile Details
| NPI number | 1205135944 |
|---|---|
| LBN Legal business name | Burge, Bethany Kearns |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2011 |
| Last updated | Oct 17th, 2023 - 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 | 1205135944 | NPPES |
| Illinois | Other | 036140193 | STATE LICENSE |
| Illinois | Other | U1870 | STATE LICENSE |
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