Burt, Andrew Kelly
Burt, Andrew Kelly is an sole proprietor health care provider with primary practice located at 77 Mark Dr Ste 25 , San Rafael CA 94903-2268. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Burt, Andrew Kelly can be contacted via phone (415) 491-1492.Contact Information
Primary practice address
77 Mark Dr Ste 25
San Rafael CA 94903-2268
Phone: (415) 491-1492
Fax: (415) 419-1499
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Legal Medicine | 173000000X | C383160 | California |
Profile Details
NPI number | 1124147368 |
---|---|
LBN Legal business name | Burt, Andrew Kelly |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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