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Contact Information

AMY C BURT, DO
3007 HARBOR LN N
PLYMOUTH, MN55447-5103
 Phone: 952-993-8900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AMY C BURT · (Female)

NPI Number 1053398024
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/29/2005
Last updated 03/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 43111
  • MN Medicaid 216938000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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