Penny Ilene Burdick in Carlsborg - Family Medicine
Penny Ilene Burdick - NPI 1922104991
Penny Ilene Burdick is a Family Medicine in Carlsborg, Washington. Penny Ilene Burdick practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Penny Ilene Burdick is 1922104991. The last update date is 2009-04-30.
Penny Ilene Burdick's current location address is Po Box 664, Carlsborg, Washington. You can contact this provider via phone number 3604614538 and fax number 3604774824. The mailing address for Penny Ilene Burdick is Po Box 664, Carlsborg, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Ilene Burdick |
|---|---|
| Address | Po Box 664, Carlsborg, Washington |
| Phone Number | 3604614538 |
| Fax Number | 3604774824 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922104991 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2009-04-30 |
Provider Mailing Address Detail
| Address | Po Box 664 |
|---|---|
| City | Carlsborg |
| State | Washington (WA) |
| Post Code | 983240664 |
| Phone Number | 3604614538 |
| Fax Number | 3604774824 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00024778 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3296BU | WA | REGENCE PPN | |
| 245680 | WA | WA STATE L&I PROVIDER ACCT. # | |
| 1127190 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Penny Ilene Burdick by the Centers for Medicare & Medicaid Services?
The Penny Ilene Burdick has been assigned the NPI (National Provider Identifier) 1922104991 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Penny Ilene Burdick is located?
The Penny Ilene Burdick is situated at the following address: Po Box 664, Carlsborg, WA, 983240664.
What is Penny Ilene Burdick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Penny Ilene Burdick is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922104991 to Penny Ilene Burdick?
The Centers for Medicare & Medicaid Services assigned the 1922104991 to Penny Ilene Burdick on 2006-09-16.
When was the information regarding Penny Ilene Burdick most recently updated?
The details pertaining to the Penny Ilene Burdick, including its address, specialty, and other relevant information, were last refreshed on 2009-04-30.
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