Walters, Burt Andre
Walters, Burt Andre is an sole proprietor health care provider with primary practice located at 31040 Parkmonte Dr , Wesley Chapel FL 33543-7906. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Walters, Burt Andre can be contacted via phone (813) 598-4225.Contact Information
Primary practice address
31040 Parkmonte Dr
Wesley Chapel FL 33543-7906
Phone: (813) 598-4225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1356981682 |
|---|---|
| LBN Legal business name | Walters, Burt Andre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2020 |
| Last updated | Jan 15th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356981682 | NPPES |
| Florida | MEDICAID | 777423 |
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