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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548256779 NPPES
New York MEDICAID 01698026

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