Burtis, Peter K
Burtis, Peter K is an sole proprietor health care provider with primary practice located at 347 Cypress St Ste A , Fort Bragg CA 95437-5458. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Burtis, Peter K can be contacted via phone (707) 962-3161.Contact Information
Primary practice address
347 Cypress St Ste A
Fort Bragg CA 95437-5458
Phone: (707) 962-3161
Fax: (707) 937-1876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT39126 | California |
Profile Details
| NPI number | 1609083609 |
|---|---|
| LBN Legal business name | Burtis, Peter K |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Feb 5th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609083609 | NPPES |
| California | MEDICAID | 1609083609 |
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