Burkhardt, Charity Joy

Burkhardt, Charity Joy is an individual health care provider with primary practice located at 3065 W Southlake Blvd # 140 , Southlake TX 76092-6730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Burkhardt, Charity Joy can be contacted via phone (817) 380-5911.

Contact Information

Primary practice address
3065 W Southlake Blvd # 140 Southlake TX 76092-6730
Phone: (817) 380-5911
Fax: (817) 385-6579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1689010340
LBN Legal business name Burkhardt, Charity Joy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Aug 29th, 2024 - about 2 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 1689010340 NPPES
Texas Other S0201078 DPS CERTIFICATE NUMBER
Texas Other PA08610 DPS CERTIFICATE NUMBER

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