Burgess, Jason L
Burgess, Jason L is an individual health care provider with primary practice located at 107 S Oak St , Mount Carmel PA 17851-2145. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Burgess, Jason L can be contacted via phone (570) 339-4599.Contact Information
Primary practice address
107 S Oak St
Mount Carmel PA 17851-2145
Phone: (570) 339-4599
Fax: (866) 876-8987
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 007321-L | Pennsylvania |
Profile Details
NPI number | 1588663850 |
---|---|
LBN Legal business name | Burgess, Jason L |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | Aug 4th, 2014 - about 10 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 | 1588663850 | NPPES |
Pennsylvania | Other | BU260345 | HIGHMARK |
Pennsylvania | Other | 1807218 | HIGHMARK |
Pennsylvania | Other | 50000379 | HIGHMARK |
Pennsylvania | Other | 425846 | HIGHMARK |
Pennsylvania | Other | 3000291 | HIGHMARK |
Pennsylvania | Other | JB1032624 | HIGHMARK |
Pennsylvania | MEDICAID | 0017362670001 | HIGHMARK |
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