Burnett, Enid F

Burnett, Enid F is an individual health care provider with primary practice located at 87 Murray Guard Dr Ste B , Jackson TN 38305-3775. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Burnett, Enid F can be contacted via phone (731) 422-0213.

Contact Information

Primary practice address
87 Murray Guard Dr Ste B Jackson TN 38305-3775
Phone: (731) 422-0213
Fax: (731) 660-8319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0072841 Florida

Profile Details

NPI number 1750368932
LBN Legal business name Burnett, Enid F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750368932 NPPES
Florida MEDICAID 002497300
Florida Other 593536402 0011
Florida Other 070013233
Florida Other 2299671
Florida Other 41326
Florida Other 4404822

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