Burnett, George Aurthur
Burnett, George Aurthur is an sole proprietor health care provider with primary practice located at 180 N Date St , Truth Or Consequences NM 87901-2824. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Burnett, George Aurthur can be contacted via phone (505) 740-2118.Contact Information
Primary practice address
180 N Date St
Truth Or Consequences NM 87901-2824
Phone: (505) 740-2118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2503 | New Mexico |
Profile Details
| NPI number | 1457407447 |
|---|---|
| LBN Legal business name | Burnett, George Aurthur |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457407447 | NPPES |
| New Mexico | Other | 2503 | STATE SLP LICENSE |
| New Mexico | MEDICAID | 72832 | STATE SLP LICENSE |
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