Individual
SUSAN ELAINE BURNHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E MILL ST, CIRCLEVILLE, OH 43113-1916
(740) 474-8577
Mailing address
13450 HARMON RD, PICKERINGTON, OH 43147-8429
(614) 861-6592
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300549
—
OH
Enumeration date
02/26/2007
Last updated
07/08/2007
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