Burgess, Charles A

Burgess, Charles A is an individual health care provider with primary practice located at 119 Parker Hall , Columbia MO 65211-2340. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burgess, Charles A can be contacted via phone (573) 882-6601.

Contact Information

Primary practice address
119 Parker Hall Columbia MO 65211-2340
Phone: (573) 882-6601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2019039862 Missouri

Profile Details

NPI number 1215541040
LBN Legal business name Burgess, Charles A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2020
Last updated Aug 31st, 2020 - 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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