Burleson, Michael N

Burleson, Michael N is an individual health care provider with primary practice located at 2350 Buhne St A, Eureka CA 95501-3238. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Burleson, Michael N can be contacted via phone (707) 443-4593.

Contact Information

Primary practice address
2350 Buhne St A Eureka CA 95501-3238
Phone: (707) 443-4593
Fax: (707) 443-6447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X C326570 California

Profile Details

NPI number 1790774990
LBN Legal business name Burleson, Michael N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 8th, 2007 - about 18 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 1790774990 NPPES
California MEDICAID 00C326570

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