NPI 1477592624 · live from the CMS NPI Registry
William K Burckhard, PA-C
Physician Assistant in Fargo, ND. National Provider Identifier 1477592624, active.
NPI record
| NPI | 1477592624 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3000 32nd Ave S, Fargo, ND 58103 |
| Practice phone | 701-364-8000 |
| Mailing address | Po Box 6001, Fargo, ND 58108 |
| Enumerated | June 5, 2006 |
| Last updated | November 4, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC0346 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.