Provider Demographics
NPI:1548595663
Name:BURNS, HARRY K (CAPS, CGP)
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:K
Last Name:BURNS
Suffix:
Gender:M
Credentials:CAPS, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 MEANS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3020
Mailing Address - Country:US
Mailing Address - Phone:412-766-3625
Mailing Address - Fax:412-202-7008
Practice Address - Street 1:616 MEANS AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3020
Practice Address - Country:US
Practice Address - Phone:412-766-3625
Practice Address - Fax:412-202-7008
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA000619171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000619OtherPENNSYLVANIA CONTRACTOR REGISTRATION NUMBER