Burnette, Douglas G
Burnette, Douglas G is an individual health care provider with primary practice located at 1800 Ryan St Suite 105, Lake Charles LA 70601-6078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Burnette, Douglas G can be contacted via phone (337) 439-4706.Contact Information
Primary practice address
1800 Ryan St Suite 105
Lake Charles LA 70601-6078
Phone: (337) 439-4706
Fax: (337) 439-8110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 14872R | Louisiana |
Profile Details
| NPI number | 1962485862 |
|---|---|
| LBN Legal business name | Burnette, Douglas G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1962485862 | NPPES |
| Louisiana | MEDICAID | 1148369 | |
| Louisiana | Other | 30299 | |
| Louisiana | Other | 300137789 |
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