Burch, Matt James

Burch, Matt James is an individual health care provider with primary practice located at 4073 Highway 53 , Hoschton GA 30548-2305. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Burch, Matt James can be contacted via phone (770) 882-5884.

Contact Information

Primary practice address
4073 Highway 53 Hoschton GA 30548-2305
Phone: (770) 882-5884
Fax: (706) 658-0116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 005247 Georgia

Profile Details

NPI number 1972987899
LBN Legal business name Burch, Matt James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2015
Last updated Jul 10th, 2015 - about 10 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 1972987899 NPPES
Georgia MEDICAID 003154238A

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