Individual
PATRICK BURCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
(513) 984-4240
Mailing address
4445 LAKE FOREST DR, BLUE ASH, OH 45242-3739
(513) 569-3741
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01083585A
IN
207W00000X
Ophthalmology Physician
Primary
35138792
OH
207W00000X
Ophthalmology Physician
53655
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396040
—
OH
05
—
7100496340
—
KY
Enumeration date
06/06/2016
Last updated
05/17/2020
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