Burkemper, Nicole M

Burkemper, Nicole M is an sole proprietor health care provider with primary practice located at 1225 S Grand Blvd Fl 3 , Saint Louis MO 63104-1016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Burkemper, Nicole M can be contacted via phone (314) 977-3400.

Contact Information

Primary practice address
1225 S Grand Blvd Fl 3 Saint Louis MO 63104-1016
Phone: (314) 977-3400
Fax: (314) 977-7613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 44829 Minnesota

Profile Details

NPI number 1083694087
LBN Legal business name Burkemper, Nicole M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Feb 22nd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083694087 NPPES
Minnesota MEDICAID 530633700

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