Burgess, Megan

Burgess, Megan is an sole proprietor health care provider with primary practice located at 4795 Broadway , Gary IN 46409. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Burgess, Megan can be contacted via phone (219) 887-3688.

Contact Information

Primary practice address
4795 Broadway Gary IN 46409
Phone: (219) 887-3688
Fax: (219) 887-2666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 33005040A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000928A Indiana

Profile Details

NPI number 1164891404
LBN Legal business name Burgess, Megan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164891404 NPPES
Indiana Other 87000928A LCAC LICENSE

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