Bursten, Marian S

Bursten, Marian S is an individual health care provider with primary practice located at 5050 Powderhouse Rd , Cheyenne WY 82009-4800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bursten, Marian S can be contacted via phone (970) 634-1311.

Contact Information

Primary practice address
5050 Powderhouse Rd Cheyenne WY 82009-4800
Fax: (970) 634-1271
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42461 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7656A Wyoming

Profile Details

NPI number 1710942339
LBN Legal business name Bursten, Marian S
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 19th, 2013 - about 11 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 1710942339 NPPES
Wyoming MEDICAID 124242300

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