Burkhardt, Thomas Edward

Burkhardt, Thomas Edward is an individual health care provider with primary practice located at 741 Scholl Rd , Mansfield OH 44907-1571. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burkhardt, Thomas Edward can be contacted via phone (419) 774-6866.

Contact Information

Primary practice address
741 Scholl Rd Mansfield OH 44907-1571
Phone: (419) 774-6866
Fax: (419) 756-2594
Website:
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Health care specialties

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

Profile Details

NPI number 1902023815
LBN Legal business name Burkhardt, Thomas Edward
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 19 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 1902023815 NPPES
Ohio Other 000000209103 ANTHEM BLUE CROSS

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