Burggraff, David Thomas
Burggraff, David Thomas is an individual health care provider with primary practice located at 11 Back Rd , Pleasant Point ME 04667-4119. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burggraff, David Thomas can be contacted via phone (207) 853-0644.Contact Information
Primary practice address
11 Back Rd
Pleasant Point ME 04667-4119
Phone: (207) 853-0644
Fax: (207) 853-1630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 048-0000671 | Vermont |
Profile Details
| NPI number | 1760581748 |
|---|---|
| LBN Legal business name | Burggraff, David Thomas |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Oct 18th, 2012 - about 13 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 | 1760581748 | NPPES |
| Vermont | MEDICAID | 1006183 | |
| Vermont | Other | 38071 |
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