Burgess, Charlotte Denise
Burgess, Charlotte Denise is an sole proprietor health care provider with primary practice located at 1212 Bent Oaks Ct Suite 200, Denton TX 76210-8061. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Burgess, Charlotte Denise can be contacted via phone (940) 243-0108.Contact Information
Primary practice address
1212 Bent Oaks Ct Suite 200
Denton TX 76210-8061
Phone: (940) 243-0108
Fax: (940) 387-3446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 9347 | Texas |
Profile Details
| NPI number | 1891816716 |
|---|---|
| LBN Legal business name | Burgess, Charlotte Denise |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891816716 | NPPES |
| Texas | Other | 11195715 | CAQH |
| Texas | Other | 4812906230002 | CAQH |
| Texas | Other | 664029 | CAQH |
| Texas | Other | 94JS | CAQH |
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