Burgess, John Layne

Burgess, John Layne is an individual health care provider with primary practice located at 2D Marine Raider Battalion Psc Box 20183, Camp Lejeune NC 28542-0183. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Burgess, John Layne can be contacted via phone (208) 312-1165.

Contact Information

Primary practice address
2D Marine Raider Battalion Psc Box 20183 Camp Lejeune NC 28542-0183
Phone: (208) 312-1165
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1235673054
LBN Legal business name Burgess, John Layne
Credentials SOIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Dec 13th, 2016 - 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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