Provider Demographics
NPI:1801070545
Name:DREXBURKE INC.
Entity type:Organization
Organization Name:DREXBURKE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DREX
Authorized Official - Middle Name:BURKE
Authorized Official - Last Name:FLOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-554-3738
Mailing Address - Street 1:705 SW MERRIAM CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-1214
Mailing Address - Country:US
Mailing Address - Phone:785-554-3738
Mailing Address - Fax:785-234-4281
Practice Address - Street 1:2206 SW 29TH TER
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-1955
Practice Address - Country:US
Practice Address - Phone:785-554-3738
Practice Address - Fax:785-783-3056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS LSCSW 16771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1801070545OtherNPI 1801070545
KS1780658369OtherNPI 1780658369
KS100007960BMedicaid