Burt, Tina L

Burt, Tina L is an individual health care provider with primary practice located at 100 John Roemmelt Dr Suite 301, Horseheads NY 14845-8301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Burt, Tina L can be contacted via phone (607) 739-0352.

Contact Information

Primary practice address
100 John Roemmelt Dr Suite 301 Horseheads NY 14845-8301
Phone: (607) 739-0352
Fax: (607) 739-6909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F300557-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 307665-1 New York

Profile Details

NPI number 1740338490
LBN Legal business name Burt, Tina L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Sep 13th, 2016 - about 8 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 1740338490 NPPES
New York MEDICAID 01276246

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