Mr. Paul Eric Burille
Sports Medicine
161 New Rd
Churchville
, Pennsylvania 18966-1445
Mr. Paul Eric Burille
Sports Medicine
161 New Rd
Churchville
, Pennsylvania 18966-1445
(707) 239-0615
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Mr. Paul Eric Burille
- 161 New Rd
- Churchville, PA
- Zip : 18966-1445
- Phone : (707) 239-0615
Second Address
- Mr. Paul Eric Burille
- 161 New Rd
- Churchville, PA
- Zip : 18966-1445
- Phone : (707) 239-0615
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | RT005341 | PA |
| Y | 213ES0000X | Sports Medicine | RT005341 | PA |
National Provider Identifier
| NPI | 1134553696 |
|---|---|
| Provider Name | Mr. Paul Eric Burille |
| First Address | Churchville, PA 18966-1445 |
| Second Address | Churchville, PA 18966-1445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2013 |
| Last Update Date | 02/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2000010524 | BOARD OF CERTIFICATION (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.