Burgess, John P
Burgess, John P is an sole proprietor health care provider with primary practice located at 405 Capitol St The Parlor Suite, Charleston WV 25301-1749. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burgess, John P can be contacted via phone (304) 346-4820.Contact Information
Primary practice address
405 Capitol St The Parlor Suite
Charleston WV 25301-1749
Phone: (304) 346-4820
Fax: (304) 346-4842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | WV2776 | West Virginia |
Profile Details
| NPI number | 1568470680 |
|---|---|
| LBN Legal business name | Burgess, John P |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568470680 | NPPES |
| West Virginia | MEDICAID | 0137189000 |
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