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:
Health care specialties
| Specialty | Code | License # | 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.
Popular Providers
-
Shepherd, Teri
9536 Lima Rd , Fort Wayne IN 46818-9517 -
Witte, Bristol Auburn
3215 N Anthony Blvd Ste D , Fort Wayne IN 46805-2259 -
Moring, Heidi
4606 W Jefferson Blvd , Fort Wayne IN 46804-6826 -
Chapman, Charles Edgar
5421 Kroemer Rd , Fort Wayne IN 46818-9327 -
Florin, Stephanie
5111 N Bend Dr , Fort Wayne IN 46804-1753 -
Gilbert, Chelsey Lynn
5111 N Bend Dr , Fort Wayne IN 46804-1753 -
Wolf, Kristen
5111 N Bend Dr , Fort Wayne IN 46804-1753 -
Wright, Jessica
1230 Ruston Pass Ste B , Fort Wayne IN 46825-1572