Provider Demographics
NPI:1932315397
Name:BURCH HILDEBRANDT PC
Entity Type:Organization
Organization Name:BURCH HILDEBRANDT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-855-5554
Mailing Address - Street 1:29994 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE I
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3225
Mailing Address - Country:US
Mailing Address - Phone:248-855-5554
Mailing Address - Fax:248-851-8698
Practice Address - Street 1:708 W HURON ST
Practice Address - Street 2:SUITE 6
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4200
Practice Address - Country:US
Practice Address - Phone:734-741-8066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty