Burgard, Amy Marie
Burgard, Amy Marie is an sole proprietor health care provider with primary practice located at 2555 Silverton Rd Ne , Salem OR 97301-0837. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Burgard, Amy Marie can be contacted via phone (503) 393-4273.Contact Information
Primary practice address
2555 Silverton Rd Ne
Salem OR 97301-0837
Phone: (503) 393-4273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | THW000004327 | Oregon |
Profile Details
| NPI number | 1497346225 |
|---|---|
| LBN Legal business name | Burgard, Amy Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2021 |
| Last updated | Feb 3rd, 2021 - about 4 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 | 1497346225 | NPPES |
| Oregon | Other | THW000004327 | TRADITIONAL HEALTH WORKER REGISTRY |
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