Burtle, Sally A

Burtle, Sally A is an individual health care provider with primary practice located at 901 Nevin Ave , Richmond CA 94801-3143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Burtle, Sally A can be contacted via phone (510) 307-2372.

Contact Information

Primary practice address
901 Nevin Ave Richmond CA 94801-3143
Phone: (510) 307-2372
Fax: (510) 307-2374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD422621 Pennsylvania
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A94836 California

Profile Details

NPI number 1821093972
LBN Legal business name Burtle, Sally A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 13th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821093972 NPPES
Pennsylvania Other 3648861 AETNA
Pennsylvania Other 2224495000 AETNA

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