Burner, Bruce Ellis
Burner, Bruce Ellis is an individual health care provider with primary practice located at 618 N Main St , Marion SC 29571-3034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Burner, Bruce Ellis can be contacted via phone (843) 433-8010.Contact Information
Primary practice address
618 N Main St
Marion SC 29571-3034
Phone: (843) 433-8010
Fax: (843) 433-8692
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 12643 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12643 | South Carolina |
Profile Details
NPI number | 1891779807 |
---|---|
LBN Legal business name | Burner, Bruce Ellis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2005 |
Last updated | Apr 24th, 2023 - about last year |
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 | 1891779807 | NPPES |
South Carolina | MEDICAID | 126438 |
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