Burbank, Conrad
Burbank, Conrad is an sole proprietor health care provider with primary practice located at 3715 Galloway St Apt D112 , Bozeman MT 59718-5604. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burbank, Conrad can be contacted via phone (773) 318-8866.Contact Information
Primary practice address
3715 Galloway St Apt D112
Bozeman MT 59718-5604
Phone: (773) 318-8866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-PSY-LIC-3564 | Montana |
Profile Details
| NPI number | 1023762622 |
|---|---|
| LBN Legal business name | Burbank, Conrad |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2022 |
| Last updated | Feb 11th, 2022 - about 3 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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