Burket, Mark W
Burket, Mark W is an individual health care provider with primary practice located at 28442 E River Rd , Perrysburg OH 43551-2795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Burket, Mark W can be contacted via phone (419) 931-0030.Contact Information
Primary practice address
28442 E River Rd
Perrysburg OH 43551-2795
Phone: (419) 931-0030
Fax: (419) 931-0032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35046181 | Ohio |
Profile Details
| NPI number | 1750375887 |
|---|---|
| LBN Legal business name | Burket, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2005 |
| Last updated | Feb 8th, 2018 - about 7 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 | 1750375887 | NPPES |
| Ohio | MEDICAID | 0592130 |
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