Burt, Donna R

Burt, Donna R is an individual health care provider with primary practice located at 207 Commerce Ave. , Chesterfield SC 29709. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Burt, Donna R can be contacted via phone (843) 623-2229.

Contact Information

Primary practice address
207 Commerce Ave. Chesterfield SC 29709
Fax: (843) 623-2553
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1174833479
LBN Legal business name Burt, Donna R
Credentials B A, MENTAL HEALTH C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Nov 4th, 2011 - about 14 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 1174833479 NPPES
South Carolina Other 570840012 NEW DAY, INC. OF SPARTANBURG
South Carolina MEDICAID 405127 NEW DAY, INC. OF SPARTANBURG

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