Burk, Timothy
Burk, Timothy is an individual health care provider with primary practice located at 1677 State Route 65 , Ellwood City PA 16117. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Burk, Timothy can be contacted via phone (724) 752-2716.Contact Information
Primary practice address
1677 State Route 65
Ellwood City PA 16117
Phone: (724) 752-2716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT007683L | Pennsylvania |
Profile Details
| NPI number | 1699859785 |
|---|---|
| LBN Legal business name | Burk, Timothy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699859785 | NPPES |
| Pennsylvania | Other | 851603 | HIGHMARK |
| Pennsylvania | MEDICAID | 0072326060002 | HIGHMARK |
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