Burke, James Booth
Burke, James Booth is an individual health care provider with primary practice located at 1202 Louisiana Avenue , Shreveport LA 71101-3910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burke, James Booth can be contacted via phone (318) 212-8780.Contact Information
Primary practice address
1202 Louisiana Avenue
Shreveport LA 71101-3910
Phone: (318) 212-8780
Fax: (318) 212-6752
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10891R | Louisiana |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.10891R | Louisiana |
Profile Details
NPI number | 1053315903 |
---|---|
LBN Legal business name | Burke, James Booth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Jun 21st, 2021 - about 4 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 | 1053315903 | NPPES |
Louisiana | MEDICAID | 1493899 | |
Louisiana | Other | 060852301 | |
Louisiana | Other | 020045711 |
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