Burke, Germaine Noel
Burke, Germaine Noel is an individual health care provider with primary practice located at 441 S Ham Ln Suite B, Lodi CA 95242-3525. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Burke, Germaine Noel can be contacted via phone (209) 224-5454.Contact Information
Primary practice address
441 S Ham Ln Suite B
Lodi CA 95242-3525
Phone: (209) 224-5454
Fax: (209) 224-8791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9259T | California |
Profile Details
| NPI number | 1376628404 |
|---|---|
| LBN Legal business name | Burke, Germaine Noel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jan 6th, 2023 - about last year |
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 | 1376628404 | NPPES |
| California | MEDICAID | SD0092590 |
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