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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1053315903 NPPES
Louisiana MEDICAID 1493899
Louisiana Other 060852301
Louisiana Other 020045711

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