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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225148224 | NPPES |
Kansas | Other | 119895 | BLUE CROSS BLUE SHIELD |
Kansas | MEDICAID | 200380730A | BLUE CROSS BLUE SHIELD |
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