Burke, Mary Jo
Burke, Mary Jo is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Burke, Mary Jo can be contacted via phone (608) 782-7300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2451 | Wisconsin |
Profile Details
| NPI number | 1356345987 |
|---|---|
| LBN Legal business name | Burke, Mary Jo |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Mar 14th, 2008 - about 17 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 | 1356345987 | NPPES |
| Wisconsin | MEDICAID | 41196500 |
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