Burt, Andrew G
Burt, Andrew G is an individual health care provider with primary practice located at 11400 Pleasant Valley Rd , Penn Valley CA 95946-9001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burt, Andrew G can be contacted via phone (530) 432-7023.Contact Information
Primary practice address
11400 Pleasant Valley Rd
Penn Valley CA 95946-9001
Phone: (530) 432-7023
Fax: (530) 432-7026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A88778 | California |
Profile Details
| NPI number | 1902911845 |
|---|---|
| LBN Legal business name | Burt, Andrew G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | May 6th, 2014 - about 10 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 | 1902911845 | NPPES |
| California | MEDICAID | 00A887780 |
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