Burnette, Rexford Forrest
Burnette, Rexford Forrest is an sole proprietor health care provider with primary practice located at 5 Pleasant St. Suite A, Bristol NH 03222-3002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burnette, Rexford Forrest can be contacted via phone (603) 744-5519.Contact Information
Primary practice address
5 Pleasant St. Suite A
Bristol NH 03222-3002
Phone: (603) 744-5519
Fax: (603) 523-9919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 893 | New Hampshire |
Profile Details
| NPI number | 1689733644 |
|---|---|
| LBN Legal business name | Burnette, Rexford Forrest |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1689733644 | NPPES |
| New Hampshire | MEDICAID | 30002566 |
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