Burke, Michael S.

Burke, Michael S. is an individual health care provider with primary practice located at 3720 Avenue A Suite E, Kearney NE 68847-8169. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burke, Michael S. can be contacted via phone (308) 234-5644.

Contact Information

Primary practice address
3720 Avenue A Suite E Kearney NE 68847-8169
Phone: (308) 234-5644
Fax: (308) 234-5652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 200 Nebraska

Profile Details

NPI number 1629189568
LBN Legal business name Burke, Michael S.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 5th, 2008 - about 18 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 1629189568 NPPES
Nebraska Other 8206 BC/BS
Nebraska Other 484245000 BC/BS
Nebraska Other 470808292 BC/BS
Nebraska MEDICAID 47080829226 BC/BS

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