Birkner, Samuel D

Birkner, Samuel D is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Birkner, Samuel D can be contacted via phone (817) 569-4395.

Contact Information

Primary practice address
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277
Phone: (817) 569-4395
Fax: (817) 569-4517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 375 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 375 Texas

Profile Details

NPI number 1033273156
LBN Legal business name Birkner, Samuel D
Credentials ED.D., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Apr 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033273156 NPPES
Texas MEDICAID 127362508
Texas MEDICAID 127362509

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