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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578160347 NPPES
Michigan Other 813601247 1225583248

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