Burns, Charles Nicholas

Burns, Charles Nicholas is an individual health care provider with primary practice located at 501 S Washington Ave Ste 1000 , Scranton PA 18505-3814. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Burns, Charles Nicholas can be contacted via phone (570) 941-0630.

Contact Information

Primary practice address
501 S Washington Ave Ste 1000 Scranton PA 18505-3814
Phone: (570) 941-0630
Fax: (570) 230-0013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD019709E Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X MD019709E Pennsylvania

Profile Details

NPI number 1225022858
LBN Legal business name Burns, Charles Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 10th, 2020 - about 4 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 1225022858 NPPES
Pennsylvania MEDICAID 0007978940002
Pennsylvania Other 0900660001
Pennsylvania Other 11762 6365
Pennsylvania Other 072965
Pennsylvania Other 34369
Pennsylvania Other 01042601
Pennsylvania Other 20010385
Pennsylvania Other 000000075845
Pennsylvania Other 2Y1004
Pennsylvania Other 340009441
Pennsylvania Other 505911

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