Burkholder, Cassidy Pauline

Burkholder, Cassidy Pauline is an individual health care provider with primary practice located at 145 S Main St Ste 4 , Wayland MI 49348-1702. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Burkholder, Cassidy Pauline can be contacted via phone (269) 792-2353.

Contact Information

Primary practice address
145 S Main St Ste 4 Wayland MI 49348-1702
Phone: (269) 792-2353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 52010099009 Michigan

Profile Details

NPI number 1497235303
LBN Legal business name Burkholder, Cassidy Pauline
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2018
Last updated Jan 28th, 2020 - about 5 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 1497235303 NPPES
Michigan MEDICAID 1497235303

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