Burris, Michael B
Burris, Michael B is an individual health care provider with primary practice located at 1 Doctors Park , Asheville NC 28801-4500. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Burris, Michael B can be contacted via phone (828) 253-5314.Contact Information
Primary practice address
1 Doctors Park
Asheville NC 28801-4500
Phone: (828) 253-5314
Fax: (828) 254-5216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2015-00424 | North Carolina |
Profile Details
| NPI number | 1417271198 |
|---|---|
| LBN Legal business name | Burris, Michael B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2010 |
| Last updated | Oct 24th, 2016 - about 8 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 | 1417271198 | NPPES |
| North Carolina | Other | 7844964 | COVENTRY |
| North Carolina | MEDICAID | 1417271198 | COVENTRY |
| North Carolina | Other | P01499959 | COVENTRY |
| North Carolina | Other | 0912525 | COVENTRY |
| North Carolina | Other | 7844964 | COVENTRY |
| North Carolina | Other | 19C76 | COVENTRY |
| North Carolina | Other | 1190945 | COVENTRY |
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