Burk, Terry J

Burk, Terry J is an individual health care provider with primary practice located at 6800 State Route 162 Anderson Hospital Dept Of Radiology, Maryville IL 62062-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Burk, Terry J can be contacted via phone (618) 288-5711.

Contact Information

Primary practice address
6800 State Route 162 Anderson Hospital Dept Of Radiology Maryville IL 62062-1000
Phone: (618) 288-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1124062757
LBN Legal business name Burk, Terry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124062757 NPPES
Other 163928 GHP
Other 1601347 GHP
Other 447052 GHP
MEDICAID 0361022781 GHP

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