Burnham, David

Burnham, David is an individual health care provider with primary practice located at 245 Terracina Blvd Ste 202 , Redlands CA 92373-4867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burnham, David can be contacted via phone (909) 793-3311.

Contact Information

Primary practice address
245 Terracina Blvd Ste 202 Redlands CA 92373-4867
Phone: (909) 793-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G88988 California

Profile Details

NPI number 1124022538
LBN Legal business name Burnham, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124022538 NPPES
Colorado MEDICAID 23472383

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