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Contact Information

JILL BURBANK, PA
802 W BROADWAY
STAFFORD, KS67578
 Phone: 620-234-6826
 Fax: 620-234-5014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JILL BURBANK · (Female)

NPI Number 1124117163
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/11/2006
Last updated 01/07/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 1501002
  • KS Medicaid 200306410A
  • KS Other 426817 BLUE CROSS BLUE SHIELD
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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