Burke, Jeremy
Burke, Jeremy is an sole proprietor health care provider with primary practice located at 24600 Northwestern Hwy , Southfield MI 48075-2471. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Burke, Jeremy can be contacted via phone (248) 871-1523.Contact Information
Primary practice address
24600 Northwestern Hwy
Southfield MI 48075-2471
Phone: (248) 871-1523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6802090717 | Michigan |
Profile Details
| NPI number | 1992338628 |
|---|---|
| LBN Legal business name | Burke, Jeremy |
| Credentials | LSW, CDCA, LLBSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2020 |
| Last updated | Feb 21st, 2020 - about 6 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 | 1992338628 | NPPES |
| Michigan | MEDICAID | 2389 |
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