Burks, Bruce Todd
Burks, Bruce Todd is an individual health care provider with primary practice located at 1 University Of New Mexico Msc08 4640, Albuquerque NM 87131-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Burks, Bruce Todd can be contacted via phone (505) 272-3434.Contact Information
Primary practice address
1 University Of New Mexico Msc08 4640
Albuquerque NM 87131-0001
Phone: (505) 272-3434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301078708 | Michigan |
Profile Details
| NPI number | 1528104924 |
|---|---|
| LBN Legal business name | Burks, Bruce Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Apr 13th, 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 | 1528104924 | NPPES |
| Michigan | MEDICAID | 5200944 |
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