Segal, Burton Alan

Segal, Burton Alan is an individual health care provider with primary practice located at 110 Kingsley Ln Suite 401, Norfolk VA 23505-4614. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Segal, Burton Alan can be contacted via phone (757) 489-4700.

Contact Information

Primary practice address
110 Kingsley Ln Suite 401 Norfolk VA 23505-4614
Phone: (757) 489-4700
Fax: (757) 489-0240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000791 Virginia

Profile Details

NPI number 1639143159
LBN Legal business name Segal, Burton Alan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 3rd, 2010 - about 16 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 1639143159 NPPES
Virginia MEDICAID 8901015

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