Burt, Tripti
Burt, Tripti is an individual health care provider with primary practice located at 1345 Edwards St Ste 1 , Morris IL 60450-1692. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Burt, Tripti can be contacted via phone (815) 318-5010.Contact Information
Primary practice address
1345 Edwards St Ste 1
Morris IL 60450-1692
Phone: (815) 318-5010
Fax: (815) 941-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | Illinois |
Profile Details
| NPI number | 1336213032 |
|---|---|
| LBN Legal business name | Burt, Tripti |
| Credentials | MD SC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1336213032 | NPPES |
| Illinois | Other | 3232017 | BLUE CROSS BLUE SHIELD |
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