Burke, Jerome S

Burke, Jerome S is an individual health care provider with primary practice located at 2450 Ashby Ave , Berkeley CA 94705-2067. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Burke, Jerome S can be contacted via phone (510) 204-1642.

Contact Information

Primary practice address
2450 Ashby Ave Berkeley CA 94705-2067
Phone: (510) 204-1642
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X A31500 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A31500 California

Profile Details

NPI number 1417926072
LBN Legal business name Burke, Jerome S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 7th, 2008 - about 16 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 1417926072 NPPES
California Other 00A315000 DHS MEDI-CAL

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