Burgess, Jeffery Dawayne

Burgess, Jeffery Dawayne is an sole proprietor health care provider with primary practice located at 500 Linda Ave , Hawthorne NY 10532-1313. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Burgess, Jeffery Dawayne can be contacted via phone (914) 564-6825.

Contact Information

Primary practice address
500 Linda Ave Hawthorne NY 10532-1313
Phone: (914) 564-6825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1285035568
LBN Legal business name Burgess, Jeffery Dawayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2014
Last updated Sep 5th, 2014 - about 11 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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