Burgess, Scott Vassar

Burgess, Scott Vassar is an individual health care provider with primary practice located at 120 Kings Way Suite 3200, Williamsburg VA 23185-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Burgess, Scott Vassar can be contacted via phone (757) 253-0051.

Contact Information

Primary practice address
120 Kings Way Suite 3200 Williamsburg VA 23185-2505
Fax: (757) 229-9526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101238311 Virginia

Profile Details

NPI number 1609854835
LBN Legal business name Burgess, Scott Vassar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Sep 30th, 2013 - about 11 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 1609854835 NPPES
Virginia MEDICAID 1609854835

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