Provider Demographics
NPI:1700172384
Name:BURGHER, LOUIS WILLIAM (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:WILLIAM
Last Name:BURGHER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12229 N 179TH CIR
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-5756
Mailing Address - Country:US
Mailing Address - Phone:402-689-2000
Mailing Address - Fax:
Practice Address - Street 1:12229 N 179TH CIR
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-5756
Practice Address - Country:US
Practice Address - Phone:402-689-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12170207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease