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Individual

MS. JULIE HATCH BURK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2211 E 10TH ST, BRICKIE COMMUNITY HEALTH CLINIC, HOBART, IN 46342-5313
(219) 945-9383
(219) 945-9384
Mailing address
2211 E 10TH ST, BRICKIE COMMUNITY HEALTH CLINIC, HOBART, IN 46342-5313
(219) 945-9383
(219) 945-9384

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002630A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200990700
MEDICAID LEGACY PROVIDER IDENTIFIER
IN
01
234810C
MEDICARE NUM
01
235780C
MEDICARE NUM
Enumeration date
07/24/2008
Last updated
01/20/2014
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