Individual
BRIDGITT LYNN BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 HAMMERSTEIN RD # 186, WHEELERSBURG, OH 45694-8430
(740) 961-8261
Mailing address
64 HIGH ST, PORTSMOUTH, OH 45662-5762
(740) 961-8261
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0168903
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410712
DEPARTMENT OF DISABILITY
OH
Enumeration date
11/24/2020
Last updated
11/24/2020
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