Burgess, Kristin Danielle
Burgess, Kristin Danielle is an sole proprietor health care provider with primary practice located at 211 W Matthews St Suite 101, Matthews NC 28105-1309. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Burgess, Kristin Danielle can be contacted via phone (980) 245-2340.Contact Information
Primary practice address
211 W Matthews St Suite 101
Matthews NC 28105-1309
Phone: (980) 245-2340
Fax: (980) 245-2333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 8051 | North Carolina |
Profile Details
| NPI number | 1295011039 |
|---|---|
| LBN Legal business name | Burgess, Kristin Danielle |
| Credentials | M.S., OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2011 |
| Last updated | Jul 1st, 2016 - about 9 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 | 1295011039 | NPPES |
| North Carolina | MEDICAID | 7302345 | |
| North Carolina | MEDICAID | TH2467 |
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