Burks, Blaine G.

Burks, Blaine G. is an individual health care provider with primary practice located at 311 E Market St Ste 3 , Lima OH 45801-4535. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Burks, Blaine G. can be contacted via phone (419) 222-4474.

Contact Information

Primary practice address
311 E Market St Ste 3 Lima OH 45801-4535
Phone: (419) 222-4474
Fax: (419) 222-7044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6801064874 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1174632145
LBN Legal business name Burks, Blaine G.
Credentials L.M.S.W.,CAAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 15th, 2023 - about 3 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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