Burkhart, Craig G
Burkhart, Craig G is an individual health care provider with primary practice located at 5600 Monroe St Ste 106B, Sylvania OH 43560-2728. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Burkhart, Craig G can be contacted via phone (419) 885-3403.Contact Information
Primary practice address
5600 Monroe St Ste 106B
Sylvania OH 43560-2728
Phone: (419) 885-3403
Fax: (419) 885-3401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35042675 | Ohio |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35042672 | Ohio |
Profile Details
| NPI number | 1962405332 |
|---|---|
| LBN Legal business name | Burkhart, Craig G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | May 20th, 2011 - about 13 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 | 1962405332 | NPPES |
| Ohio | MEDICAID | 0395666 |
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