Burgess, Samantha

Burgess, Samantha is an individual health care provider with primary practice located at 145 Michigan St Ne Ste 3100 , Grand Rapids MI 49503-2563. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Burgess, Samantha can be contacted via phone (616) 954-9800.

Contact Information

Primary practice address
145 Michigan St Ne Ste 3100 Grand Rapids MI 49503-2563
Phone: (616) 954-9800
Fax: (616) 954-2116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704350687 Michigan

Profile Details

NPI number 1427616580
LBN Legal business name Burgess, Samantha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2019
Last updated Mar 13th, 2020 - about 5 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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