Burton, Zashata Lynne
Burton, Zashata Lynne is an sole proprietor health care provider with primary practice located at 520 10Th Street , Red Wing MN 55066. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Burton, Zashata Lynne can be contacted via phone (651) 380-0043.Contact Information
Primary practice address
520 10Th Street
Red Wing MN 55066
Phone: (651) 380-0043
Fax: (651) 800-2000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 300116 | Minnesota |
Profile Details
| NPI number | 1487660429 |
|---|---|
| LBN Legal business name | Burton, Zashata Lynne |
| Credentials | LADC LICENSED ALCOHO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Mar 4th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487660429 | NPPES |
| Minnesota | Other | 106221 | UC |
| Minnesota | Other | 51738 | UC |
| Minnesota | Other | 289G6BU | UC |
| Minnesota | Other | 84-61062 | UC |
| Minnesota | Other | 1043337 | UC |
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