Burt, Allen
Burt, Allen is an sole proprietor health care provider with primary practice located at 6025 Brookvale Ln Suite 205, Knoxville TN 37919-4031. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burt, Allen can be contacted via phone (865) 766-0075.Contact Information
Primary practice address
6025 Brookvale Ln Suite 205
Knoxville TN 37919-4031
Phone: (865) 766-0075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1567 | Tennessee |
Profile Details
| NPI number | 1720091226 |
|---|---|
| LBN Legal business name | Burt, Allen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720091226 | NPPES |
| Tennessee | MEDICAID | 3684462 |
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