Burgess, Shane

Burgess, Shane is an sole proprietor health care provider with primary practice located at 310 S Eads Ave , Paris IL 61944-1938. He recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as his primary health care specialty. Burgess, Shane can be contacted via phone (217) 465-5395.

Contact Information

Primary practice address
310 S Eads Ave Paris IL 61944-1938
Phone: (217) 465-5395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 057.002001 Illinois

Profile Details

NPI number 1932363736
LBN Legal business name Burgess, Shane
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2008
Last updated Jul 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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