Burt, Roy G

Burt, Roy G is an individual health care provider with primary practice located at 3015 3Rd Ave Se Ste 100, Aberdeen SD 57401-5418. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Burt, Roy G can be contacted via phone (605) 725-1700.

Contact Information

Primary practice address
3015 3Rd Ave Se Ste 100 Aberdeen SD 57401-5418
Phone: (605) 725-1700
Fax: (605) 725-1708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1376 South Dakota
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 1376 South Dakota

Profile Details

NPI number 1295801520
LBN Legal business name Burt, Roy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Mar 29th, 2012 - about 13 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 1295801520 NPPES
South Dakota Other 1376 DAKOTACARE
South Dakota MEDICAID 6600040 DAKOTACARE

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