Burdge, Carol

Burdge, Carol is an individual health care provider with primary practice located at 1440 Russell Rd , Paoli PA 19301-1236. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Burdge, Carol can be contacted via phone (610) 644-6464.

Contact Information

Primary practice address
1440 Russell Rd Paoli PA 19301-1236
Phone: (610) 644-6464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN307916L Pennsylvania

Profile Details

NPI number 1891891974
LBN Legal business name Burdge, Carol
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1891891974 NPPES
Pennsylvania Other 7167314 AETNA
Pennsylvania Other 2321080000 AETNA

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