DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JEREMY T BURKS BS

MEDICARE: JEREMY T BURKS BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1154256964
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY T BURKS BS
Provider Business Mailing Address
First Line : 200 12TH STREET EXT
Second Line :
City : PRINCETON
State : WV
Zip : 24740-2329
Country : US
Telephone Number : 304-425-9541
Fax Number :
Provider Business Practice Location Address
First Line : 200 12TH STREET EXT
Second Line :
City : PRINCETON
State : WV
Zip : 24740-2329
Country : US
Telephone Number : 304-425-9541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

Similar Medicare Providers

1992261747 — JORDYN BOONE
Practice Location Address:
200 12TH STREET EXT
PRINCETON, WV
24740-2329
Practice Phone: 304-425-9541
Practice Fax:
1982539698 — KAREN MARIE HARGRAVE
Practice Location Address:
200 12TH STREET EXT
PRINCETON, WV
24740-2329
Practice Phone: 304-425-9541
Practice Fax: 304-425-1332
1245958941 — HILLARY WAGNER LPN
Practice Location Address:
200 12TH STREET EXT
PRINCETON, WV
24740-2329
Practice Phone: 304-425-9541
Practice Fax:
1033044722 — LINDA SUE BLAYLOCK
Practice Location Address:
200 12TH STREET EXT
PRINCETON, WV
24740-2329
Practice Phone: 304-425-9541
Practice Fax:
1639005770 — TYANNA MOESHA PRICE
Practice Location Address:
200 12TH STREET EXT
PRINCETON, WV
24740-2329
Practice Phone: 304-425-9541
Practice Fax:
1457287591 — DEMI ADAIR MCQUAIN
Practice Location Address:
200 12TH STREET EXT
PRINCETON, WV
24740-2329
Practice Phone: 304-992-4791
Practice Fax:

Directions to “ JEREMY T BURKS BS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.