Burgess, Kristine
Burgess, Kristine is an individual health care provider with primary practice located at 50258 Van Dyke Ave , Shelby Township MI 48317-1374. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burgess, Kristine can be contacted via phone (586) 884-4714.Contact Information
Primary practice address
50258 Van Dyke Ave
Shelby Township MI 48317-1374
Phone: (586) 884-4714
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6362009234 | Michigan |
Profile Details
NPI number | 1578160347 |
---|---|
LBN Legal business name | Burgess, Kristine |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2020 |
Last updated | Oct 5th, 2020 - about 5 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 | 1578160347 | NPPES |
Michigan | Other | 813601247 | 1225583248 |
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