Burgess, Nichole Jean

Burgess, Nichole Jean is an individual health care provider with primary practice located at 1230 Ruston Pass Ste B , Fort Wayne IN 46825-1572. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Burgess, Nichole Jean can be contacted via phone (260) 797-6100.

Contact Information

Primary practice address
1230 Ruston Pass Ste B Fort Wayne IN 46825-1572
Phone: (260) 797-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT22007086 Indiana

Profile Details

NPI number 1447880778
LBN Legal business name Burgess, Nichole Jean
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2020
Last updated Jan 26th, 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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