Burke, Benjamin J
Burke, Benjamin J is an individual health care provider with primary practice located at 10799 N 90Th St Ste 100 , Scottsdale AZ 85260-6110. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Burke, Benjamin J can be contacted via phone (480) 804-0326.Contact Information
Primary practice address
10799 N 90Th St Ste 100
Scottsdale AZ 85260-6110
Phone: (480) 804-0326
Fax: (480) 804-0083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LASAC-13288 | Arizona |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LAC-14063 | Arizona |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-15546 | Arizona |
Profile Details
| NPI number | 1841638582 |
|---|---|
| LBN Legal business name | Burke, Benjamin J |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2013 |
| Last updated | Jun 9th, 2017 - about 8 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 | 1841638582 | NPPES |
| Arizona | MEDICAID | 014628 |
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