Burkhardt, John E

Burkhardt, John E is an individual health care provider with primary practice located at 850 5Th Ave E , Tuscaloosa AL 35401-7419. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burkhardt, John E can be contacted via phone (205) 348-1265.

Contact Information

Primary practice address
850 5Th Ave E Tuscaloosa AL 35401-7419
Phone: (205) 348-1265
Fax: (205) 348-5676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008025 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1973 Alabama

Profile Details

NPI number 1548563596
LBN Legal business name Burkhardt, John E
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2010
Last updated May 23rd, 2016 - about 10 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 1548563596 NPPES
Alabama MEDICAID 177583
Alabama MEDICAID 178640

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