Burkett, Michael Jay

Burkett, Michael Jay is an sole proprietor health care provider with primary practice located at 611 Belmont Ave , Youngstown OH 44502-1037. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Burkett, Michael Jay can be contacted via phone (330) 744-2991.

Contact Information

Primary practice address
611 Belmont Ave Youngstown OH 44502-1037
Phone: (330) 744-2991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 071005 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C 0600591 Ohio

Profile Details

NPI number 1861776023
LBN Legal business name Burkett, Michael Jay
Credentials PC, LICDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 14 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 1861776023 NPPES
Ohio MEDICAID 0241705

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