Burt, Timothy J

Burt, Timothy J is an sole proprietor health care provider with primary practice located at 51 Market St , Bangor PA 18013-1901. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Burt, Timothy J can be contacted via phone (610) 588-9109.

Contact Information

Primary practice address
51 Market St Bangor PA 18013-1901
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1972880532
LBN Legal business name Burt, Timothy J
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2011
Last updated Nov 10th, 2011 - about 13 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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