Burke, Edward
Burke, Edward is an individual health care provider with primary practice located at 735 W Main St , Fredericktown MO 63645-1113. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Burke, Edward can be contacted via phone (573) 783-8875.Contact Information
Primary practice address
735 W Main St
Fredericktown MO 63645-1113
Phone: (573) 783-8875
Fax: (573) 783-8890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036099747 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2010023551 | Missouri |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2010023551 | Missouri |
Profile Details
| NPI number | 1306885157 |
|---|---|
| LBN Legal business name | Burke, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Aug 16th, 2010 - about 14 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 | 1306885157 | NPPES |
| Other | 268942 | MEDICARE RHC | |
| MEDICAID | 597560408 | MEDICARE RHC |
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