Burgett, Richard

Burgett, Richard is an individual health care provider with primary practice located at 10300 N Illinois St Suite 2020, Indianapolis IN 46290-1166. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Burgett, Richard can be contacted via phone (317) 817-1976.

Contact Information

Primary practice address
10300 N Illinois St Suite 2020 Indianapolis IN 46290-1166
Phone: (317) 817-1976
Fax: (317) 817-1737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X IN01041553 Indiana
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 1041553 Indiana

Profile Details

NPI number 1336147230
LBN Legal business name Burgett, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 26th, 2024 - about 11 months 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 1336147230 NPPES
Indiana MEDICAID 200140100

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