Burgess, Jennifer L

Burgess, Jennifer L is an individual health care provider with primary practice located at 107 S Oak St , Mount Carmel PA 17851-2145. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Burgess, Jennifer 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:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 007320-L Pennsylvania

Profile Details

NPI number 1649279977
LBN Legal business name Burgess, Jennifer L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Oct 18th, 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 1649279977 NPPES
Pennsylvania Other BU451351 HIGHMARK
Pennsylvania Other 50000378 HIGHMARK
Pennsylvania MEDICAID 0017362670001 HIGHMARK

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