Burkett, Jeffrey Scott
Burkett, Jeffrey Scott is an individual health care provider with primary practice located at 100 Theda Clark Medical Plz Suite 400, Neenah WI 54956-2763. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Burkett, Jeffrey Scott can be contacted via phone (920) 725-4527.Contact Information
Primary practice address
100 Theda Clark Medical Plz Suite 400
Neenah WI 54956-2763
Phone: (920) 725-4527
Fax: (920) 725-0991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35305 | Wisconsin |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 35305 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35305 | Wisconsin |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 35305 | Wisconsin |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35305 | Wisconsin |
Profile Details
| NPI number | 1124078662 |
|---|---|
| LBN Legal business name | Burkett, Jeffrey Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | May 8th, 2008 - about 16 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 | 1124078662 | NPPES |
| Wisconsin | MEDICAID | 32014100 |
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