Burgess, Carol J
Burgess, Carol J is an individual health care provider with primary practice located at 100 Hospital Dr , Bennington VT 05201-5004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Burgess, Carol J can be contacted via phone (802) 442-6361.Contact Information
Primary practice address
100 Hospital Dr
Bennington VT 05201-5004
Phone: (802) 442-6361
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 159113 | New York |
Profile Details
| NPI number | 1548256779 |
|---|---|
| LBN Legal business name | Burgess, Carol J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Nov 10th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548256779 | NPPES |
| New York | MEDICAID | 01698026 |
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