Burkhardt, Thomas B.

Burkhardt, Thomas B. is an sole proprietor health care provider with primary practice located at 2817 Saint Johns Blvd , Joplin MO 64804-1563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Burkhardt, Thomas B. can be contacted via phone (417) 781-2727.

Contact Information

Primary practice address
2817 Saint Johns Blvd Joplin MO 64804-1563
Fax: (417) 625-2910
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2011005761 Missouri
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 2011005761 Missouri

Profile Details

NPI number 1861475618
LBN Legal business name Burkhardt, Thomas B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2005
Last updated Mar 26th, 2014 - about 10 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 1861475618 NPPES
Michigan MEDICAID 4704024

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