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Contact Information

RALEIGH L BURCH JR
5419 DEALE CHURCHTON RD
SUITE 102
CHURCHTON, MD20733-2404
 Phone: 443-607-6207
 Fax: 443-607-6208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for RALEIGH L BURCH JR · (Male)

NPI Number 1972878650
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2012
Last updated 03/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MD License # LCA034
  • MD Medicaid 415894600
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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