Burnham, Jon

Burnham, Jon is an sole proprietor health care provider with primary practice located at 2691 S 2000 W , Rexburg ID 83440-4049. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burnham, Jon can be contacted via phone (208) 701-9616.

Contact Information

Primary practice address
2691 S 2000 W Rexburg ID 83440-4049
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-27607 Idaho

Profile Details

NPI number 1396868691
LBN Legal business name Burnham, Jon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jun 2nd, 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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