Burdge, Jason Michael

Burdge, Jason Michael is an sole proprietor health care provider with primary practice located at 23 E Ross Ave , Sapulpa OK 74066-6423. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Burdge, Jason Michael can be contacted via phone (918) 640-0290.

Contact Information

Primary practice address
23 E Ross Ave Sapulpa OK 74066-6423
Phone: (918) 640-0290
Fax: (918) 227-1125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 101YP2500X Oklahoma

Profile Details

NPI number 1932400330
LBN Legal business name Burdge, Jason Michael
Credentials CCDC, CBHCM, BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2010
Last updated Nov 16th, 2010 - about 16 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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