Burtch, Jeremy J

Burtch, Jeremy J is an individual health care provider with primary practice located at 602 Pleasant Oak Drive , Oregon WI 53575-3648. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Burtch, Jeremy J can be contacted via phone (608) 835-5050.

Contact Information

Primary practice address
602 Pleasant Oak Drive Oregon WI 53575-3648
Phone: (608) 835-5050
Fax: (608) 835-5010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3249125 Wisconsin

Profile Details

NPI number 1245319078
LBN Legal business name Burtch, Jeremy J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1245319078 NPPES
Wisconsin Other 3249125 LICENSED PROF COUNSELOR
Wisconsin MEDICAID 40942700 LICENSED PROF COUNSELOR

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