Burke, Susan A.

Burke, Susan A. is an sole proprietor health care provider with primary practice located at 1333 W Main St , Grove City PA 16127-1056. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burke, Susan A. can be contacted via phone (724) 372-2062.

Contact Information

Primary practice address
1333 W Main St Grove City PA 16127-1056
Fax: (724) 297-3131
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013432 Pennsylvania

Profile Details

NPI number 1346241379
LBN Legal business name Burke, Susan A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Oct 31st, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346241379 NPPES
Pennsylvania MEDICAID 001973913001

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