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Contact Information

JAMES T BURDETT, MD
1050 W 10TH ST
ROLLA, MO65401
 Phone: 573-364-9000
 Fax: 573-426-6694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JAMES T BURDETT · (Male)

NPI Number 1083684179
Status Active
Credentials MD
Entity Individual
Enumeration date 01/23/2006
Last updated 08/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 9853
  • IL Medicaid 036118822
  • NV Medicaid 100500798
  • Other P00396911 RR MEDICARE
  • IL Other 207988 GROUP MED
  • IL Other CE9335 RR MEDICARE GRP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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