Burkhardt, Amy Lee
Burkhardt, Amy Lee is an sole proprietor health care provider with primary practice located at 5800 Southland Dr , Mobile AL 36693-3313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Burkhardt, Amy Lee can be contacted via phone (251) 661-0153.Contact Information
Primary practice address
5800 Southland Dr
Mobile AL 36693-3313
Phone: (251) 661-0153
Fax: (251) 662-7297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1853 | Alabama |
Profile Details
| NPI number | 1629070503 |
|---|---|
| LBN Legal business name | Burkhardt, Amy Lee |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Sep 20th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629070503 | NPPES |
| Alabama | Other | 1025IO3019 | PTAN |
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