Burks, Eric Jason
Burks, Eric Jason is an individual health care provider with primary practice located at 670 Albany Street Suite 304, Boston MA 02118-2646. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Burks, Eric Jason can be contacted via phone (617) 414-5314.Contact Information
Primary practice address
670 Albany Street Suite 304
Boston MA 02118-2646
Phone: (617) 414-5314
Fax: (617) 414-5315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 223504 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 223504 | Massachusetts |
Profile Details
| NPI number | 1225000623 |
|---|---|
| LBN Legal business name | Burks, Eric Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Feb 1st, 2018 - about 6 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 | 1225000623 | NPPES |
| Massachusetts | MEDICAID | 110076181A |
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