Healthcare Provider Details

I. General information

NPI: 1144403205
Provider Name (Legal Business Name): ERIN JESSICA BURKE P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 S MAIN ST
LAPEER MI
48446-2463
US

IV. Provider business mailing address

608 S MAIN ST
LAPEER MI
48446-2463
US

V. Phone/Fax

Practice location:
  • Phone: 810-543-1066
  • Fax:
Mailing address:
  • Phone: 810-543-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601005185
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: