Burke, Richard Martin

Burke, Richard Martin is an individual health care provider with primary practice located at 112 E Linn St , Marshalltown IA 50158. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Burke, Richard Martin can be contacted via phone (641) 844-6230.

Contact Information

Primary practice address
112 E Linn St Marshalltown IA 50158
Fax: (641) 844-6235
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 08579 Iowa

Profile Details

NPI number 1295839207
LBN Legal business name Burke, Richard Martin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 31st, 2019 - about 6 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 1295839207 NPPES
Iowa MEDICAID 1197186

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