Individual
MRS. BETTY ANN BURCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1042 KINNEYS LN, PORTSMOUTH, OH 45662-2805
(740) 353-4230
Mailing address
1042 KINNEYS LN, PORTSMOUTH, OH 45662-2805
(740) 353-4230
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2192354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2192354
—
OH
05
—
73800870
—
OH
Enumeration date
08/21/2006
Last updated
07/09/2007
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