Individual
MS. ALISON DOLORES BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRANSPORTATION AF
Contact information
Practice address
921 PACE DR, SOUTH HILL, VA 23970-1307
(434) 247-0769
Mailing address
921 PACE DR, SOUTH HILL, VA 23970-1307
(434) 247-0769
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
BL004595
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL004595
BUSINESS LICENSE
VA
Enumeration date
02/23/2020
Last updated
02/23/2020
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