Burke, Patrick Allen

Burke, Patrick Allen is an sole proprietor health care provider with primary practice located at 65 Saint Marks Rise Rd , Crawfordville FL 32327-6006. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Burke, Patrick Allen can be contacted via phone (850) 545-3417.

Contact Information

Primary practice address
65 Saint Marks Rise Rd Crawfordville FL 32327-6006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X CRC058312 Florida

Profile Details

NPI number 1467876276
LBN Legal business name Burke, Patrick Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2014
Last updated Feb 13th, 2014 - about 10 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 1467876276 NPPES
Florida MEDICAID 004407900

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