Burke, Richard G

Burke, Richard G is an individual health care provider with primary practice located at 4100 Park Forest Dr Suite 210, Traverse City MI 49684-7306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Burke, Richard G can be contacted via phone (231) 935-5770.

Contact Information

Primary practice address
4100 Park Forest Dr Suite 210 Traverse City MI 49684-7306
Phone: (231) 935-5770
Fax: (231) 935-0747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301056303 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4310156303 Michigan

Profile Details

NPI number 1427039072
LBN Legal business name Burke, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Apr 20th, 2016 - about 8 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 1427039072 NPPES
Michigan MEDICAID 1427039072

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