Burge, Samuel Louis

Burge, Samuel Louis is an sole proprietor health care provider with primary practice located at 384 East Ave Ste B , Rochester NY 14607-1909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Burge, Samuel Louis can be contacted via phone (585) 720-9608.

Contact Information

Primary practice address
384 East Ave Ste B Rochester NY 14607-1909
Phone: (585) 720-9608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 009537 New York

Profile Details

NPI number 1366574626
LBN Legal business name Burge, Samuel Louis
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Dec 10th, 2007 - about 17 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 1366574626 NPPES
New York Other 121937FR PREFERRED CARE

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