Burk, John D
Burk, John D is an individual health care provider with primary practice located at 516 Pegram Dr , Tupelo MS 38801-6347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Burk, John D can be contacted via phone (662) 844-6272.Contact Information
Primary practice address
516 Pegram Dr
Tupelo MS 38801-6347
Phone: (662) 844-6272
Fax: (662) 844-1603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 7919 | Mississippi |
Profile Details
| NPI number | 1518991033 |
|---|---|
| LBN Legal business name | Burk, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Nov 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518991033 | NPPES |
| Mississippi | MEDICAID | 00123008 |
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