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:
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Health care specialties

SpecialtyCodeLicense #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 6 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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