Burr, Jeannette Aydelotte

Burr, Jeannette Aydelotte is an sole proprietor health care provider with primary practice located at 120 Allens Creek Rd , Rochester NY 14618-3306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burr, Jeannette Aydelotte can be contacted via phone (585) 233-7420.

Contact Information

Primary practice address
120 Allens Creek Rd Rochester NY 14618-3306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015363 New York

Profile Details

NPI number 1639132707
LBN Legal business name Burr, Jeannette Aydelotte
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated May 24th, 2013 - about 11 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 1639132707 NPPES
New York Other 015363 NYS LICENSE #
New York Other P010115363 NYS LICENSE #

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