Burnett, Bruce L

Burnett, Bruce L is an individual health care provider with primary practice located at 5950 University Ave Ste 105, West Des Moines IA 50266. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Burnett, Bruce L can be contacted via phone (515) 875-9070.

Contact Information

Primary practice address
5950 University Ave Ste 105 West Des Moines IA 50266
Phone: (515) 875-9070
Fax: (515) 875-9071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A054714 Iowa

Profile Details

NPI number 1699773945
LBN Legal business name Burnett, Bruce L
Credentials A.R.N.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 21st, 2018 - about 6 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 1699773945 NPPES
Iowa MEDICAID 0685214
Iowa Other 47420

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