Burgess, Corey A

Burgess, Corey A is an sole proprietor health care provider with primary practice located at 3236 Hwy 15 S , Sumter SC 29150-9657. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Transportation Services / Ambulance. Transportation Services / Ambulance is his primary health care specialty. Burgess, Corey A can be contacted via phone (803) 506-2005.

Contact Information

Primary practice address
3236 Hwy 15 S Sumter SC 29150-9657
Phone: (803) 506-2005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Transportation Services / Ambulance 341600000X

Profile Details

NPI number 1063646610
LBN Legal business name Burgess, Corey A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2009
Last updated Feb 19th, 2016 - about 9 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 1063646610 NPPES
South Carolina Other 1063646610 NPPES

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