Burgess, Leroy
Burgess, Leroy is an sole proprietor health care provider with primary practice located at 300 S Saint Louis Blvd Ste 202 , South Bend IN 46617-3044. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Burgess, Leroy can be contacted via phone (574) 232-1405.Contact Information
Primary practice address
300 S Saint Louis Blvd Ste 202
South Bend IN 46617-3044
Phone: (574) 232-1405
Fax: (574) 232-0124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 99066271A | Indiana |
Profile Details
| NPI number | 1528449964 |
|---|---|
| LBN Legal business name | Burgess, Leroy |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2015 |
| Last updated | Jun 11th, 2015 - 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.
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