Burgess, Jennifer G

Burgess, Jennifer G is an sole proprietor health care provider with primary practice located at 509 Highview Cir , Chattanooga TN 37415-2910. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Burgess, Jennifer G can be contacted via phone (423) 280-1524.

Contact Information

Primary practice address
509 Highview Cir Chattanooga TN 37415-2910
Phone: (423) 280-1524
Fax: (423) 875-2908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 02430 Tennessee

Profile Details

NPI number 1376532416
LBN Legal business name Burgess, Jennifer G
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Nov 16th, 2011 - about 14 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 1376532416 NPPES
Tennessee MEDICAID 3656354

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