Bennett, Burgess

Bennett, Burgess is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-2037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bennett, Burgess can be contacted via phone (425) 646-7777.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-2037
Phone: (425) 646-7777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60759972 Washington

Profile Details

NPI number 1104915776
LBN Legal business name Bennett, Burgess
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104915776 NPPES
Washington MEDICAID 1104915776

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