Martha Doran Burkett in Grand Rapids - Professional
Martha Doran Burkett - NPI 1689856627
Martha Doran Burkett is a Professional in Grand Rapids, Michigan. Martha Doran Burkett practices all healthcare services and medical treatments related to Professional. The NPI Number for Martha Doran Burkett is 1689856627. The last update date is 2019-08-27.
Martha Doran Burkett's current location address is 2424 Burton St Se Ste 104, Grand Rapids, Michigan. You can contact this provider via phone number 6165424211. The mailing address for Martha Doran Burkett is 2424 Burton St Se Ste 104, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha Doran Burkett |
|---|---|
| Address | 2424 Burton St Se Ste 104, Grand Rapids, Michigan |
| Phone Number | 6165424211 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC, NCC, |
NPI Number Detail
| NPI Number | 1689856627 |
|---|---|
| Provider Enumeration Date | 2007-12-01 |
| Last Updated Date | 2019-08-27 |
Provider Mailing Address Detail
| Address | 2424 Burton St Se Ste 104 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495464833 |
| Phone Number | 6165424211 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 6401009140 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6401009140 | MI | COUNSELING LICENSE | |
| 5797 | NATIONAL AURICULAR ACUDETOX AS | ||
| 11806665 | CAQH | ||
| 95289 | NCC | ||
| C-00076 | MI | CAADC |
Post Comment/ Review Below
What is the Martha Doran Burkett's 1689856627?
The Martha Doran Burkett's NPI (National Provider Identifier) Number is 1689856627. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Martha Doran Burkett's facilities are geographically located?
The facilities of Martha Doran Burkett are physically situated at the following location: 2424 Burton St Se Ste 104, Grand Rapids, MI, 495464833.
What is Martha Doran Burkett's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Martha Doran Burkett is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Martha Doran Burkett receive the assignment of its 1689856627 from the Centers for Medicare & Medicaid Services?
The Martha Doran Burkett was issued its 1689856627 by the Centers for Medicare & Medicaid Services on 2007-12-01.
When was the Martha Doran Burkett's information last updated?
The Martha Doran Burkett's information was last updated on 2019-08-27.