Burk, Phillip Neil
Burk, Phillip Neil is an individual health care provider with primary practice located at 203 12Th Ave Rd Suite A, Nampa ID 83686-5012. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Burk, Phillip Neil can be contacted via phone (208) 466-3338.Contact Information
Primary practice address
203 12Th Ave Rd Suite A
Nampa ID 83686-5012
Phone: (208) 466-3338
Fax: (208) 466-3554
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | P-99 | Idaho |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | P-99 | Idaho |
Profile Details
NPI number | 1699763540 |
---|---|
LBN Legal business name | Burk, Phillip Neil |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2005 |
Last updated | Dec 5th, 2008 - 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 | 1699763540 | NPPES |
Idaho | Other | 480033019 | RAILROAD MEDICARE |
Idaho | Other | P2446 | RAILROAD MEDICARE |
Idaho | Other | 000010015689 | RAILROAD MEDICARE |
Idaho | MEDICAID | 001519600 | RAILROAD MEDICARE |
Idaho | Other | P2446 | RAILROAD MEDICARE |
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