Burke, Timothy Kelly
Burke, Timothy Kelly is an individual health care provider with primary practice located at 5 S Washington Ave , Jermyn PA 18433-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burke, Timothy Kelly can be contacted via phone (570) 230-0019.Contact Information
Primary practice address
5 S Washington Ave
Jermyn PA 18433-1121
Phone: (570) 230-0019
Fax: (570) 230-0013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OT013485 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS016416 | Pennsylvania |
Profile Details
| NPI number | 1609188945 |
|---|---|
| LBN Legal business name | Burke, Timothy Kelly |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2010 |
| Last updated | Dec 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609188945 | NPPES |
| Pennsylvania | MEDICAID | 102828357001 |
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