Burgess, Richard Chipman
Burgess, Richard Chipman is an individual health care provider with primary practice located at 500 W Main St Suite 201, Lewisville TX 75057-3629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Burgess, Richard Chipman can be contacted via phone (972) 434-1052.Contact Information
Primary practice address
500 W Main St Suite 201
Lewisville TX 75057-3629
Phone: (972) 434-1052
Fax: (972) 420-8542
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | E4233 | Texas |
Profile Details
NPI number | 1336161702 |
---|---|
LBN Legal business name | Burgess, Richard Chipman |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336161702 | NPPES |
Texas | Other | 83P891 | BCBS |
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