Burd, Eric
Burd, Eric is an sole proprietor health care provider with primary practice located at 9516 S Shields Blvd Apt 8, Moore OK 73160-3100. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Burd, Eric can be contacted via phone (830) 460-1200.Contact Information
Primary practice address
9516 S Shields Blvd Apt 8
Moore OK 73160-3100
Phone: (830) 460-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1063841294 |
|---|---|
| LBN Legal business name | Burd, Eric |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2013 |
| Last updated | Nov 7th, 2013 - about 12 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 | 1063841294 | NPPES |
| Oklahoma | MEDICAID | 000000000 |
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