Burleson, Andrew Lee
Burleson, Andrew Lee is an individual health care provider with primary practice located at 407 Washington Ave , Crab Orchard WV 25827-9598. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Technologists, Technicians & Other Technical Service Providers / Radiography. Technologists, Technicians & Other Technical Service Providers / Computed Tomography is his primary health care specialty. Burleson, Andrew Lee can be contacted via phone (304) 252-4785.Contact Information
Primary practice address
407 Washington Ave
Crab Orchard WV 25827-9598
Phone: (304) 252-4785
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Computed Tomography | 2471C3401X | 3281 | West Virginia |
| Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X | 3281 | West Virginia |
Profile Details
| NPI number | 1831347285 |
|---|---|
| LBN Legal business name | Burleson, Andrew Lee |
| Credentials | ARRT(R)(CT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2008 |
| Last updated | Aug 28th, 2008 - about 18 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 | 1831347285 | NPPES |
| West Virginia | Other | 3281 | STATE OF WEST VIRGINIA MEDICAL IMAGING AND RADIATION THERAPY |
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