Burke, Denise Ann

Burke, Denise Ann is an sole proprietor health care provider with primary practice located at 749 Golf View Dr Suite A, Medford OR 97504-9654. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Burke, Denise Ann can be contacted via phone (541) 779-4575.

Contact Information

Primary practice address
749 Golf View Dr Suite A Medford OR 97504-9654
Phone: (541) 779-4575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD 17669 Oregon
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD17669 Oregon
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD17669 Oregon

Profile Details

NPI number 1184640815
LBN Legal business name Burke, Denise Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Oct 3rd, 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 1184640815 NPPES
Oregon MEDICAID 73486

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