Burke, Benjie Llewellyn
Burke, Benjie Llewellyn is an individual health care provider with primary practice located at 906 Judson Rd , Longview TX 75601-5113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Burke, Benjie Llewellyn can be contacted via phone (903) 655-1313.Contact Information
Primary practice address
906 Judson Rd
Longview TX 75601-5113
Phone: (903) 655-1313
Fax: (903) 657-6067
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | J3441 | Texas |
Profile Details
NPI number | 1306885900 |
---|---|
LBN Legal business name | Burke, Benjie Llewellyn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Mar 3rd, 2009 - about 16 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 | 1306885900 | NPPES |
Texas | MEDICAID | 115299303 |
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