Burke, Theresa
Burke, Theresa is an sole proprietor health care provider with primary practice located at 2115 W Park Dr , Lorain OH 44053-1138. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Burke, Theresa can be contacted via phone (440) 989-4987.Contact Information
Primary practice address
2115 W Park Dr
Lorain OH 44053-1138
Phone: (440) 989-4987
Fax: (440) 246-0189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCIII.101044-3 | Ohio |
Profile Details
| NPI number | 1609308907 |
|---|---|
| LBN Legal business name | Burke, Theresa |
| Credentials | LCDCIII |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2017 |
| Last updated | Mar 28th, 2017 - about 9 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 | 1609308907 | NPPES |
| Ohio | Other | LCDCIII.101044-3 | LICENSE |
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