Burke, Kathleen Sue

Burke, Kathleen Sue is an sole proprietor health care provider with primary practice located at 138 Washington , Montrose MI 48457-7719. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Burke, Kathleen Sue can be contacted via phone (810) 639-4520.

Contact Information

Primary practice address
138 Washington Montrose MI 48457-7719
Phone: (810) 639-4520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X AF 250247793 Michigan

Profile Details

NPI number 1316198260
LBN Legal business name Burke, Kathleen Sue
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2008
Last updated Oct 8th, 2008 - about 16 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 1316198260 NPPES
Michigan MEDICAID 9182961

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