Burke, Sean J

Burke, Sean J is an individual health care provider with primary practice located at 320 N High Street Extended , Smyrna DE 19977-1183. He recently has 2 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 / Counselor is his primary health care specialty. Burke, Sean J can be contacted via phone (302) 659-5060.

Contact Information

Primary practice address
320 N High Street Extended Smyrna DE 19977-1183
Phone: (302) 659-5060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1336790625
LBN Legal business name Burke, Sean J
Credentials M.ED, LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2019
Last updated Sep 27th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336790625 NPPES
Delaware MEDICAID CD-0000107
Delaware MEDICAID 1878

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