Burke, Theodore J

Burke, Theodore J is an individual health care provider with primary practice located at 125 16Th Ave E , Seattle WA 98112-5211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Burke, Theodore J can be contacted via phone (206) 326-3000.

Contact Information

Primary practice address
125 16Th Ave E Seattle WA 98112-5211
Phone: (206) 326-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00046192 Washington

Profile Details

NPI number 1346384211
LBN Legal business name Burke, Theodore J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated May 19th, 2021 - about 5 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 1346384211 NPPES
Washington MEDICAID 8464331

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