Burkart, Michael Raymond

Burkart, Michael Raymond is an sole proprietor health care provider with primary practice located at 444 Angell St , Providence RI 02906-4445. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burkart, Michael Raymond can be contacted via phone (401) 273-5115.

Contact Information

Primary practice address
444 Angell St Providence RI 02906-4445
Phone: (401) 273-5115
Fax: (401) 273-8388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00286 Rhode Island

Profile Details

NPI number 1649309030
LBN Legal business name Burkart, Michael Raymond
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1649309030 NPPES
Rhode Island Other 9325-3 BLUE CROSS PROVIDER
Rhode Island Other 412290 BLUE CROSS PROVIDER

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