Burton, Chester

Burton, Chester is an sole proprietor health care provider with primary practice located at 625 Nw 13Th St , Oklahoma City OK 73103-2239. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Burton, Chester can be contacted via phone (405) 859-1170.

Contact Information

Primary practice address
625 Nw 13Th St Oklahoma City OK 73103-2239
Fax: (405) 601-3317
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oklahoma

Profile Details

NPI number 1588909840
LBN Legal business name Burton, Chester
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2012
Last updated Nov 27th, 2012 - about 14 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 1588909840 NPPES
Oklahoma MEDICAID 200077440A

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