Burris, Anthony
Burris, Anthony is an sole proprietor health care provider with primary practice located at 507 S Fitness Pl Ste 100, Eagle ID 83616-6552. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Burris, Anthony can be contacted via phone (208) 938-1277.Contact Information
Primary practice address
507 S Fitness Pl Ste 100
Eagle ID 83616-6552
Phone: (208) 938-1277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | ACU-221 | Idaho |
Profile Details
| NPI number | 1518190982 |
|---|---|
| LBN Legal business name | Burris, Anthony |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2009 |
| Last updated | Feb 29th, 2024 - about 2 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 | 1518190982 | NPPES |
| Idaho | Other | 000010174226 | REGENCE BLUE SHIELD OF IDAHO |
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