Burdett, V Renee
Burdett, V Renee is an individual health care provider with primary practice located at 13649 Office Place Suite 102, Woodbridge VA 22192. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Burdett, V Renee can be contacted via phone (703) 670-5738.Contact Information
Primary practice address
13649 Office Place Suite 102
Woodbridge VA 22192
Phone: (703) 670-5738
Fax: (703) 670-8213
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101046586 | Virginia |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0101046586 | Virginia |
Profile Details
NPI number | 1821168212 |
---|---|
LBN Legal business name | Burdett, V Renee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2006 |
Last updated | Jan 16th, 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 | 1821168212 | NPPES |
Virginia | Other | 256399 | ANTHEM BC BS |
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