Burger, Keith Yale

Burger, Keith Yale is an sole proprietor health care provider with primary practice located at 197 W Main St , Cortland OH 44410-1460. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Burger, Keith Yale can be contacted via phone (330) 856-6640.

Contact Information

Primary practice address
197 W Main St Cortland OH 44410-1460
Phone: (330) 856-6640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X OH E0000169 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X OH I0000401 Ohio

Profile Details

NPI number 1972591998
LBN Legal business name Burger, Keith Yale
Credentials LISW-LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Aug 14th, 2012 - 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.

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