Burnett, Betty B

Burnett, Betty B is an individual health care provider with primary practice located at 1602 Church St Se , Decatur AL 35601-3402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burnett, Betty B can be contacted via phone (256) 350-1458.

Contact Information

Primary practice address
1602 Church St Se Decatur AL 35601-3402
Phone: (256) 350-1458
Fax: (256) 350-1485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-037625 Alabama

Profile Details

NPI number 1508029646
LBN Legal business name Burnett, Betty B
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Aug 4th, 2014 - about 11 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 1508029646 NPPES
Alabama Other 511-19871 BCBS
Alabama MEDICAID 136527 BCBS

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