Provider Demographics
NPI:1922085026
Name:BURKHOLDER, ERIC D
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:D
Last Name:BURKHOLDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 SOUTH GEORGE MASON DRIVE
Mailing Address - Street 2:APT 23
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:786-525-5211
Mailing Address - Fax:
Practice Address - Street 1:1511 SOUTH GEORGE MASON DRIVE
Practice Address - Street 2:APT 23
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:786-525-5211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other