Burris, Mary Kay
Burris, Mary Kay is an individual health care provider with primary practice located at 501 S Chipeta Way , Salt Lake City UT 84108-1222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Burris, Mary Kay can be contacted via phone (801) 585-1575.Contact Information
Primary practice address
501 S Chipeta Way
Salt Lake City UT 84108-1222
Phone: (801) 585-1575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 6019908-1205 | Utah |
Profile Details
| NPI number | 1306807359 |
|---|---|
| LBN Legal business name | Burris, Mary Kay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 11th, 2021 - about 3 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 | 1306807359 | NPPES |
| Utah | MEDICAID | 1306807359 |
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