Burkett, Jared Locke

Burkett, Jared Locke is an sole proprietor health care provider with primary practice located at 3610 Springhill Memorial Dr N , Mobile AL 36608-1162. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Burkett, Jared Locke can be contacted via phone (251) 410-3600.

Contact Information

Primary practice address
3610 Springhill Memorial Dr N Mobile AL 36608-1162
Phone: (251) 410-3600
Fax: (251) 410-3700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 30297 Alabama

Profile Details

NPI number 1417114570
LBN Legal business name Burkett, Jared Locke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2008
Last updated Sep 12th, 2014 - about 11 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 1417114570 NPPES
Alabama MEDICAID 161659

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