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
Fax: (903) 657-6067
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306885900 NPPES
Texas MEDICAID 115299303

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