Burns, Craig Douglas
Burns, Craig Douglas is an sole proprietor health care provider with primary practice located at 382 Washington St , Brookline MA 02445-6852. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burns, Craig Douglas can be contacted via phone (617) 447-5572.Contact Information
Primary practice address
382 Washington St
Brookline MA 02445-6852
Phone: (617) 447-5572
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8428 | Massachusetts |
Profile Details
| NPI number | 1023080587 |
|---|---|
| LBN Legal business name | Burns, Craig Douglas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1023080587 | NPPES |
| Massachusetts | Other | W06433 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | Other | W10533 | BLUE CROSS/BLUE SHIELD |
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