Burkhart, Daniel Bruce
Burkhart, Daniel Bruce is an individual health care provider with primary practice located at 2902 W Agua Fria Fwy Ste 1090 , Phoenix AZ 85027-3970. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Burkhart, Daniel Bruce can be contacted via phone (602) 648-5444.Contact Information
Primary practice address
2902 W Agua Fria Fwy Ste 1090
Phoenix AZ 85027-3970
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 6355 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 8174 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 6355 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 8174 | Arizona |
Profile Details
NPI number | 1811515208 |
---|---|
LBN Legal business name | Burkhart, Daniel Bruce |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2020 |
Last updated | Feb 28th, 2024 - about last year |
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 | 1811515208 | NPPES |
Arizona | MEDICAID | 083339 |
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