- Practice location
- Bennett, 18 Gym Dr, Orono, ME 04473
- Phone
- 207-450-4095
- Fax
- —
- Last updated
- January 21, 2025
Ethan Burk is a Specialist/Technologist, Athletic Trainer based in Orono, ME. Ethan Burk practices in Orono, ME. The NPI Number for Ethan Burk is 1316616535 and holds a License No. AT962 (ME). The current practice location address for Ethan Burk is Bennett, 18 Gym Dr, Orono, ME 04473 and can be reached out via phone at 207-450-4095.
Provider Profile Details
- NPI Number
- 1316616535
- Provider Name
- Ethan Burk
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Bennett, 18 Gym Dr, Orono, ME 04473
- Phone Number
- 207-450-4095
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 10, 2021
- Last Update Date
- January 21, 2025
- Certification Date
- January 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Bennett, 18 Gym Dr
Orono, ME 04473 - City
- Orono
- State
- Maine
- Zip
- 04473
- Phone Number
- 207-450-4095
Provider Business Mailing Address Details
- Address
- 18 Bower St
Bangor, ME 04401-4722 - City
- Bangor
- State
- ME
- Zip
- 04401-4722
- Phone Number
- 207-450-4095
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (3)
- AT962
- License State (3)
- ME
- Taxonomy (3)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ethan Burk?
The NPI number of Ethan Burk is 1316616535. It was assigned on September 10, 2021 and is currently active in the NPPES registry.
What is the specialty of Ethan Burk?
Ethan Burk is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT962.
Where does Ethan Burk practice?
The practice location is Bennett, 18 Gym Dr, Orono, ME 04473. The office can be reached at 207-450-4095 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316616535 directly on the NPPES registry website.