Burk, Justin James
Burk, Justin James is an individual health care provider with primary practice located at 9035 S 1300 E Ste 100 , Sandy UT 84094-3131. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burk, Justin James can be contacted via phone (801) 566-4119.Contact Information
Primary practice address
9035 S 1300 E Ste 100
Sandy UT 84094-3131
Phone: (801) 566-4119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12890769-9934 | Utah |
Profile Details
| NPI number | 1679203681 |
|---|---|
| LBN Legal business name | Burk, Justin James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2022 |
| Last updated | Jun 13th, 2022 - about 3 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 | 1679203681 | NPPES |
| Utah | MEDICAID | 1841473295 |
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