Burt, Sam

Burt, Sam is an sole proprietor health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85395-2635. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Burt, Sam can be contacted via phone (800) 402-0881.

Contact Information

Primary practice address
13677 W Mcdowell Rd Goodyear AZ 85395-2635
Phone: (800) 402-0881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 076895-21 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 240773 Arizona

Profile Details

NPI number 1942715412
LBN Legal business name Burt, Sam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2017
Last updated Apr 30th, 2020 - about 5 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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