Burgess, Jessica Robin

Burgess, Jessica Robin is an individual health care provider with primary practice located at 825 Fairfax Ave Suite 610, Norfolk VA 23507-1914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Burgess, Jessica Robin can be contacted via phone (757) 446-8960.

Contact Information

Primary practice address
825 Fairfax Ave Suite 610 Norfolk VA 23507-1914
Phone: (757) 446-8960
Fax: (757) 446-5197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 0101257867 Virginia

Profile Details

NPI number 1609019314
LBN Legal business name Burgess, Jessica Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Nov 17th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609019314 NPPES
Virginia Other 1609019314 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK
Virginia MEDICAID 1609019314 COVENTRY NETWORK
Virginia MEDICAID 1609019314 COVENTRY NETWORK
Virginia Other 10150094 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK
Virginia Other -019 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK
Virginia Other 1609019314 COVENTRY NETWORK

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