Provider Demographics
NPI:1306028352
Name:BURNEIKIS, VIRGINIJUS (MD, SA-C)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIJUS
Middle Name:
Last Name:BURNEIKIS
Suffix:
Gender:M
Credentials:MD, SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7122
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80306-7122
Mailing Address - Country:US
Mailing Address - Phone:303-932-0505
Mailing Address - Fax:303-932-0505
Practice Address - Street 1:90 GRANITE DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-9784
Practice Address - Country:US
Practice Address - Phone:303-932-0505
Practice Address - Fax:303-932-0505
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-02
Last Update Date:2010-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00130246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant