Burgess-Krop, Dawn M
Burgess-Krop, Dawn M is an individual health care provider with primary practice located at 1212 Nw 12Th Ave Ste B, Gainesville FL 32601-3032. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Burgess-Krop, Dawn M can be contacted via phone (352) 372-6645.Contact Information
Primary practice address
1212 Nw 12Th Ave Ste B
Gainesville FL 32601-3032
Phone: (352) 372-6645
Fax: (352) 373-1237
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH000189 | Florida |
Profile Details
NPI number | 1497756068 |
---|---|
LBN Legal business name | Burgess-Krop, Dawn M |
Credentials | ED.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2005 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497756068 | NPPES |
Florida | Other | Z0946 | BCBS |
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