Burch, Jeffrey M

Burch, Jeffrey M is an individual health care provider with primary practice located at 2711 S Rouse St Ste C&D , Pittsburg KS 66762-6620. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burch, Jeffrey M can be contacted via phone (620) 231-1068.

Contact Information

Primary practice address
2711 S Rouse St Ste C&D Pittsburg KS 66762-6620
Phone: (620) 231-1068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1369 Kansas

Profile Details

NPI number 1225148224
LBN Legal business name Burch, Jeffrey M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 26th, 2020 - about 6 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 1225148224 NPPES
Kansas Other 119895 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 200380730A BLUE CROSS BLUE SHIELD

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