Burt, Paul J
Burt, Paul J is an individual health care provider with primary practice located at 2460 India Hook Rd Suite 206, Rock Hill SC 29732-3530. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burt, Paul J can be contacted via phone (803) 985-2020.Contact Information
Primary practice address
2460 India Hook Rd Suite 206
Rock Hill SC 29732-3530
Phone: (803) 985-2020
Fax: (803) 985-2021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1278 | South Carolina |
Profile Details
| NPI number | 1902943145 |
|---|---|
| LBN Legal business name | Burt, Paul J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jan 2nd, 2018 - about 8 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 | 1902943145 | NPPES |
| South Carolina | MEDICAID | D12871 |
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