Burd, John Robert

Burd, John Robert is an individual health care provider with primary practice located at 824 Gum Branch Rd Suite O, Jacksonville NC 28540-6269. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burd, John Robert can be contacted via phone (910) 989-0900.

Contact Information

Primary practice address
824 Gum Branch Rd Suite O Jacksonville NC 28540-6269
Phone: (910) 989-0900
Fax: (910) 989-0377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003209 North Carolina

Profile Details

NPI number 1902843501
LBN Legal business name Burd, John Robert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1902843501 NPPES
North Carolina Other 12716 BLUE CROSS/BLUE SHIELD
North Carolina MEDICAID 6002014 BLUE CROSS/BLUE SHIELD

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