Burgess, Jerrod Richard

Burgess, Jerrod Richard is an individual health care provider with primary practice located at 3111 Electric Ave , Port Huron MI 48060-8127. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Burgess, Jerrod Richard can be contacted via phone (810) 985-8900.

Contact Information

Primary practice address
3111 Electric Ave Port Huron MI 48060-8127
Phone: (810) 985-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6802088745 Michigan

Profile Details

NPI number 1093186207
LBN Legal business name Burgess, Jerrod Richard
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated Apr 28th, 2017 - about 8 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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