Burstedt, David E

Burstedt, David E is an individual health care provider with primary practice located at 105 S Willow Ave , Cookeville TN 38501-4667. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Burstedt, David E can be contacted via phone (931) 372-7716.

Contact Information

Primary practice address
105 S Willow Ave Cookeville TN 38501-4667
Phone: (931) 372-7716
Fax: (931) 372-0087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X BP10053739 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 11069136-1205 Utah
Other Service Providers / Specialist 174400000X RPT-1815 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 61181 Tennessee

Profile Details

NPI number 1528160371
LBN Legal business name Burstedt, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Aug 27th, 2020 - about 4 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 1528160371 NPPES
Tennessee MEDICAID Q059073

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