Burns, Charles Nicholas
Burns, Charles Nicholas is an individual health care provider with primary practice located at 501 S Washington Ave Ste 1000 , Scranton PA 18505-3814. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Burns, Charles Nicholas can be contacted via phone (570) 941-0630.Contact Information
Primary practice address
501 S Washington Ave Ste 1000
Scranton PA 18505-3814
Phone: (570) 941-0630
Fax: (570) 230-0013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD019709E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | MD019709E | Pennsylvania |
Profile Details
| NPI number | 1225022858 |
|---|---|
| LBN Legal business name | Burns, Charles Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Dec 10th, 2020 - about 6 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 | 1225022858 | NPPES |
| Pennsylvania | MEDICAID | 0007978940002 | |
| Pennsylvania | Other | 0900660001 | |
| Pennsylvania | Other | 11762 6365 | |
| Pennsylvania | Other | 072965 | |
| Pennsylvania | Other | 34369 | |
| Pennsylvania | Other | 01042601 | |
| Pennsylvania | Other | 20010385 | |
| Pennsylvania | Other | 000000075845 | |
| Pennsylvania | Other | 2Y1004 | |
| Pennsylvania | Other | 340009441 | |
| Pennsylvania | Other | 505911 |
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