Burke, Michael

Burke, Michael is an sole proprietor health care provider with primary practice located at 700 Airport Road Preferred Behavioral Health Of Nj, Lakewood NJ 08701. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burke, Michael can be contacted via phone (732) 367-4700.

Contact Information

Primary practice address
700 Airport Road Preferred Behavioral Health Of Nj Lakewood NJ 08701
Phone: (732) 367-4700
Fax: (732) 364-2253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SL05151300 New Jersey

Profile Details

NPI number 1194856690
LBN Legal business name Burke, Michael
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194856690 NPPES
New Jersey MEDICAID 0020987

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