Burt, Stephen Marcel

Burt, Stephen Marcel is an sole proprietor health care provider with primary practice located at 1111 Highway 441 North , Pearson GA 31642. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Burt, Stephen Marcel can be contacted via phone (912) 422-7073.

Contact Information

Primary practice address
1111 Highway 441 North Pearson GA 31642
Phone: (912) 422-7073
Fax: (912) 422-7019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 025727 Georgia

Profile Details

NPI number 1518062199
LBN Legal business name Burt, Stephen Marcel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Oct 19th, 2012 - about 12 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 1518062199 NPPES
Georgia Other 010062912 RAILROAD MEDICARE
Georgia MEDICAID 00272995E RAILROAD MEDICARE

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