Burgess, Dana L
Burgess, Dana L is an individual health care provider with primary practice located at 2501 Oregon Pike , Lancaster PA 17601-4890. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Burgess, Dana L can be contacted via phone (717) 735-1954.Contact Information
Primary practice address
2501 Oregon Pike
Lancaster PA 17601-4890
Phone: (717) 735-1954
Fax: (717) 569-3045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | CW013075 | Pennsylvania |
Profile Details
| NPI number | 1730337866 |
|---|---|
| LBN Legal business name | Burgess, Dana L |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Dec 13th, 2022 - about 3 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 | 1730337866 | NPPES |
| Pennsylvania | MEDICAID | 001573009 | |
| Pennsylvania | Other | CW013075 |
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