Burille, Paul Eric

Burille, Paul Eric is an individual health care provider with primary practice located at 161 New Rd , Churchville PA 18966-1445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Burille, Paul Eric can be contacted via phone (707) 239-0615.

Contact Information

Primary practice address
161 New Rd Churchville PA 18966-1445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X RT005341 Pennsylvania

Profile Details

NPI number 1134553696
LBN Legal business name Burille, Paul Eric
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2013
Last updated Sep 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134553696 NPPES
Pennsylvania Other 2000010524 BOARD OF CERTIFICATION

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