Burgess, Kraig M
Burgess, Kraig M is an individual health care provider with primary practice located at 18555 N 79Th Ave Ste E101 , Glendale AZ 85308-8392. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Burgess, Kraig M can be contacted via phone (602) 648-5444.Contact Information
Primary practice address
18555 N 79Th Ave Ste E101
Glendale AZ 85308-8392
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4169 | Arizona |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 4169 | Arizona |
Profile Details
| NPI number | 1396735882 |
|---|---|
| LBN Legal business name | Burgess, Kraig M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 25th, 2022 - about 2 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 | 1396735882 | NPPES |
| Arizona | MEDICAID | 954348 |
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