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
Fax: (207) 853-1630
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760581748 NPPES
Vermont MEDICAID 1006183
Vermont Other 38071

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