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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1962405332 NPPES
Ohio MEDICAID 0395666

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