Burnett, Robert J
Burnett, Robert J is an individual health care provider with primary practice located at 2003 Kootenai Health Way Ste 300, Coeur D Alene ID 83814-6051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Burnett, Robert J can be contacted via phone (208) 666-2552.Contact Information
Primary practice address
2003 Kootenai Health Way Ste 300
Coeur D Alene ID 83814-6051
Phone: (208) 666-2552
Fax: (208) 666-2556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD00036338 | Washington |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | M-8773 | Idaho |
Profile Details
| NPI number | 1104824150 |
|---|---|
| LBN Legal business name | Burnett, Robert J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Oct 1st, 2020 - about 5 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 | 1104824150 | NPPES |
| Washington | Other | G8878163 | MEDICARE PTAN |
| Washington | MEDICAID | 8357345 | MEDICARE PTAN |
| Washington | Other | G8870910 | MEDICARE PTAN |
| Washington | MEDICAID | 806593702 | MEDICARE PTAN |
| Washington | Other | 11104691 | MEDICARE PTAN |
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