Burgess, Henry E
Burgess, Henry E is an individual health care provider with primary practice located at 405 E Laburnum Ave Ste 3 , Richmond VA 23222-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burgess, Henry E can be contacted via phone (540) 200-8821.Contact Information
Primary practice address
405 E Laburnum Ave Ste 3
Richmond VA 23222-2134
Phone: (540) 200-8821
Fax: (540) 779-7889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C159147 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 81686 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-11833 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 201803048 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101230868 | Virginia |
Profile Details
| NPI number | 1376516260 |
|---|---|
| LBN Legal business name | Burgess, Henry E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Mar 25th, 2024 - about 9 months 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 | 1376516260 | NPPES |
| Virginia | MEDICAID | 005605113 | |
| Virginia | Other | 441912 | |
| Virginia | MEDICAID | 5617456 | |
| Virginia | MEDICAID | 1376516260 | |
| Virginia | Other | 441914 | |
| Virginia | Other | 080171551 | |
| Virginia | MEDICAID | 005611211 | |
| Virginia | Other | 441913 |
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