Burke, Philip R.
Burke, Philip R. is an sole proprietor health care provider with primary practice located at 1419 Beacon St , Brookline MA 02446-4808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Burke, Philip R. can be contacted via phone (617) 983-0280.Contact Information
Primary practice address
1419 Beacon St
Brookline MA 02446-4808
Phone: (617) 983-0280
Fax: (617) 934-1789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 217495 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 217495 | Massachusetts |
Profile Details
| NPI number | 1083611826 |
|---|---|
| LBN Legal business name | Burke, Philip R. |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Nov 21st, 2020 - about 4 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 | 1083611826 | NPPES |
| Massachusetts | MEDICAID | 2099489 | |
| Massachusetts | Other | J28796 | |
| Massachusetts | Other | 468341 |
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