Provider Demographics
NPI:1326807769
Name:SYDNEY BURCHFIELD, LLC
Entity Type:Organization
Organization Name:SYDNEY BURCHFIELD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NP
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-518-6953
Mailing Address - Street 1:580 FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:LA
Mailing Address - Zip Code:70342-2066
Mailing Address - Country:US
Mailing Address - Phone:985-518-6953
Mailing Address - Fax:225-307-1087
Practice Address - Street 1:609 BRASHEAR AVE
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-3203
Practice Address - Country:US
Practice Address - Phone:985-300-6123
Practice Address - Fax:225-307-1087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care