Burton, Carly Vincent

Burton, Carly Vincent is an individual health care provider with primary practice located at 300 Talbot St , Easton MD 21601. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Burton, Carly Vincent can be contacted via phone (410) 822-1018.

Contact Information

Primary practice address
300 Talbot St Easton MD 21601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 22417 Maryland

Profile Details

NPI number 1205339355
LBN Legal business name Burton, Carly Vincent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2018
Last updated Jul 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205339355 NPPES
Maryland MEDICAID 367255700

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