Burnside, Athena M.
Burnside, Athena M. is an sole proprietor health care provider with primary practice located at 2600 S El Camino Real Ste 200 , San Mateo CA 94403-2382. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as her primary health care specialty. Burnside, Athena M. can be contacted via phone (650) 372-4080.Contact Information
Primary practice address
2600 S El Camino Real Ste 200
San Mateo CA 94403-2382
Phone: (650) 372-4080
Fax: (650) 400-9662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1023581196 |
|---|---|
| LBN Legal business name | Burnside, Athena M. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2019 |
| Last updated | Apr 23rd, 2019 - 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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