Burke, William T.

Burke, William T. is an individual health care provider with primary practice located at 5001 W Village Green Dr Suite 211, Midlothian VA 23112-4801. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burke, William T. can be contacted via phone (804) 744-9652.

Contact Information

Primary practice address
5001 W Village Green Dr Suite 211 Midlothian VA 23112-4801
Phone: (804) 744-9652
Fax: (804) 744-1265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000953 Virginia

Profile Details

NPI number 1346248812
LBN Legal business name Burke, William T.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Apr 30th, 2012 - about 12 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 1346248812 NPPES
Virginia MEDICAID 7709714

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