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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1891779807 NPPES
South Carolina MEDICAID 126438

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