Burkhalter, Johnny Kenneth

Burkhalter, Johnny Kenneth is an individual health care provider with primary practice located at 3115 Loop 306 Suite 101, San Angelo TX 76904. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Burkhalter, Johnny Kenneth can be contacted via phone (325) 944-4722.

Contact Information

Primary practice address
3115 Loop 306 Suite 101 San Angelo TX 76904
Phone: (325) 944-4722
Fax: (325) 223-1150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22463 Texas
Behavioral Health & Social Service Providers / School 103TS0200X 6094 Texas

Profile Details

NPI number 1396831327
LBN Legal business name Burkhalter, Johnny Kenneth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 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 1396831327 NPPES
Texas Other 00GK54 BCBS

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