Burk, Thomas Ward

Burk, Thomas Ward is an sole proprietor health care provider with primary practice located at 1050 Live Oak Blvd , Yuba City CA 95991-3415. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burk, Thomas Ward can be contacted via phone (530) 671-1740.

Contact Information

Primary practice address
1050 Live Oak Blvd Yuba City CA 95991-3415
Phone: (530) 671-1740
Fax: (530) 671-1380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 4970 TPA California

Profile Details

NPI number 1295895985
LBN Legal business name Burk, Thomas Ward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 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 1295895985 NPPES
California MEDICAID SD0049700

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