Burgess, Russell E

Burgess, Russell E is an individual health care provider with primary practice located at 137 Medical Lane , Pollocksville NC 28573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Burgess, Russell E can be contacted via phone (252) 633-1010.

Contact Information

Primary practice address
137 Medical Lane Pollocksville NC 28573
Phone: (252) 633-1010
Fax: (252) 224-3071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 19319 North Carolina

Profile Details

NPI number 1831182336
LBN Legal business name Burgess, Russell E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Apr 11th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831182336 NPPES
North Carolina Other 131F9 BLUE CROSS
North Carolina MEDICAID 89131F9 BLUE CROSS

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