Burstain, Jennifer M

Burstain, Jennifer M is an individual health care provider with primary practice located at 1911 1St Ave Se , Cedar Rapids IA 52402-5320. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Burstain, Jennifer M can be contacted via phone (319) 366-1503.

Contact Information

Primary practice address
1911 1St Ave Se Cedar Rapids IA 52402-5320
Phone: (319) 366-1503
Fax: (319) 366-6976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 33047 Iowa
Behavioral Health & Social Service Providers / Counselor 101Y00000X Washington

Profile Details

NPI number 1477666485
LBN Legal business name Burstain, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477666485 NPPES
Iowa MEDICAID 0258749

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