Burke, Louis A

Burke, Louis A is an individual health care provider with primary practice located at 3875 East Overland Road , Meridian ID 83642. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Burke, Louis A can be contacted via phone (208) 884-8300.

Contact Information

Primary practice address
3875 East Overland Road Meridian ID 83642
Phone: (208) 884-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA200 Idaho

Profile Details

NPI number 1952518060
LBN Legal business name Burke, Louis A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jan 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952518060 NPPES
Idaho MEDICAID 805396900

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