Burge, Sophia Wagner
Burge, Sophia Wagner is an individual health care provider with primary practice located at 1800 15Th St Ste 340 , Greeley CO 80631-4562. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Burge, Sophia Wagner can be contacted via phone (970) 810-4593.Contact Information
Primary practice address
1800 15Th St Ste 340
Greeley CO 80631-4562
Phone: (970) 810-4593
Fax: (970) 810-4591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA.0005117 | Colorado |
Profile Details
| NPI number | 1972026276 |
|---|---|
| LBN Legal business name | Burge, Sophia Wagner |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2017 |
| Last updated | Aug 23rd, 2021 - about 4 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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