Burgess, Justin

Burgess, Justin is an individual health care provider with primary practice located at 721 W Maple St , Rawlins WY 82301-5447. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burgess, Justin can be contacted via phone (307) 324-7156.

Contact Information

Primary practice address
721 W Maple St Rawlins WY 82301-5447
Phone: (307) 324-7156
Fax: (307) 328-1651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW-252 Wyoming

Profile Details

NPI number 1013377233
LBN Legal business name Burgess, Justin
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2016
Last updated May 18th, 2016 - 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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