Paul Burch
Individual provider Active NPI Other Technician · Fallon, NV
NPI 1538554142 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1538554142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 1490 Grimes St
Fallon, NV 89406-3103 - Phone
- (775) 423-1412
- Fax
- (775) 423-4054
- NPI assigned
- Mar 31, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Churchill Council on Alcohol & Other Drugs | Past |
Accepting new patients | |
| Churchill Council on Alcohol & Other Drugs | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
1490 Grimes St
Fallon, NV 89406-3103
Mailing address
PO Box 1240
Fallon, NV 89407-1240
Phone (775) 423-1412
Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.