Burleson, Tina Michelle
Burleson, Tina Michelle is an individual health care provider with primary practice located at 1321 Oberlin Rd A, Raleigh NC 27608-2052. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Burleson, Tina Michelle can be contacted via phone (919) 828-4747.Contact Information
Primary practice address
1321 Oberlin Rd A
Raleigh NC 27608-2052
Phone: (919) 828-4747
Fax: (919) 828-6765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200200460 | North Carolina |
Profile Details
| NPI number | 1881667624 |
|---|---|
| LBN Legal business name | Burleson, Tina Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Mar 12th, 2015 - about 9 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 | 1881667624 | NPPES |
| North Carolina | MEDICAID | 89131JX |
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