Delange, Burke

Delange, Burke is an individual health care provider with primary practice located at 5171 Cub Lake Rd Suite C 350, Show Low AZ 85901-7888. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Delange, Burke can be contacted via phone (928) 537-8285.

Contact Information

Primary practice address
5171 Cub Lake Rd Suite C 350 Show Low AZ 85901-7888
Phone: (928) 537-8285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X J2871 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 005292 Arizona

Profile Details

NPI number 1801866876
LBN Legal business name Delange, Burke
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 17th, 2009 - about 15 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 1801866876 NPPES
Texas MEDICAID 175753601

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