Burn, Matthew Blake
Burn, Matthew Blake is an sole proprietor health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204-1720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Burn, Matthew Blake can be contacted via phone (501) 500-3500.Contact Information
Primary practice address
800 Fair Park Blvd
Little Rock AR 72204-1720
Phone: (501) 500-3500
Fax: (501) 960-3620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R5981 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | BP10044119 | Texas |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | R5981 | Texas |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | E-14362 | Arkansas |
Profile Details
| NPI number | 1730448234 |
|---|---|
| LBN Legal business name | Burn, Matthew Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2012 |
| Last updated | Jul 1st, 2021 - about 3 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 | 1730448234 | NPPES |
| Texas | MEDICAID | 393387101 |
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