Burgess, Dawn M

Burgess, Dawn M is an sole proprietor health care provider with primary practice located at 2701 Lincoln Ave , Evansville IN 47714-1627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Burgess, Dawn M can be contacted via phone (812) 476-4400.

Contact Information

Primary practice address
2701 Lincoln Ave Evansville IN 47714-1627
Phone: (812) 476-4400
Fax: (812) 476-0300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 28159755A Indiana

Profile Details

NPI number 1013164425
LBN Legal business name Burgess, Dawn M
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2008
Last updated Aug 27th, 2008 - about 16 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 1013164425 NPPES
Indiana Other 4116028 AETNA
Indiana Other 188985 AETNA
Indiana Other 221001 AETNA
Indiana Other 91107974 AETNA
Indiana Other 000000085654 AETNA
Indiana Other 000000085654 AETNA

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