Burch, Lisa P.
Burch, Lisa P. is an sole proprietor health care provider with primary practice located at 19 Pinney St , Ellington CT 06029-3812. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burch, Lisa P. can be contacted via phone (860) 871-9295.Contact Information
Primary practice address
19 Pinney St
Ellington CT 06029-3812
Phone: (860) 871-9295
Fax: (860) 871-9271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 001628 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 105256 | Massachusetts |
Profile Details
| NPI number | 1821151895 |
|---|---|
| LBN Legal business name | Burch, Lisa P. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1821151895 | NPPES |
| Connecticut | Other | 140001628CT03 | ANTHEM BC PIN |
| Connecticut | Other | 001628 | ANTHEM BC PIN |
| Connecticut | Other | 105256 | ANTHEM BC PIN |
| Connecticut | Other | 11241472 | ANTHEM BC PIN |
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