Burke, Nicholas Antonio

Burke, Nicholas Antonio is an individual health care provider with primary practice located at 1 Good Samaritan Way , Mount Vernon IL 62864-2402. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Burke, Nicholas Antonio can be contacted via phone (618) 242-4600.

Contact Information

Primary practice address
1 Good Samaritan Way Mount Vernon IL 62864-2402
Phone: (618) 242-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036165520 Illinois

Profile Details

NPI number 1174144364
LBN Legal business name Burke, Nicholas Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2020
Last updated Nov 3rd, 2023 - about last year

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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