Burnett, Riesa M.
Burnett, Riesa M. is an individual health care provider with primary practice located at 13450 N Meridian St Ste 145 , Carmel IN 46032-1484. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Burnett, Riesa M. can be contacted via phone (317) 338-8788.Contact Information
Primary practice address
13450 N Meridian St Ste 145
Carmel IN 46032-1484
Phone: (317) 338-8788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 01067554A | Indiana |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 35.126101 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01067554A | Indiana |
Profile Details
| NPI number | 1396903589 |
|---|---|
| LBN Legal business name | Burnett, Riesa M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2008 |
| Last updated | Jun 6th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396903589 | NPPES |
| Indiana | Other | 11014009A | TEMPORARY STATE LICENCE |
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