Burgess, Stephanie
Burgess, Stephanie is an sole proprietor health care provider with primary practice located at 4114 Fitzgerald Rd , Tallahassee FL 32311-3687. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Burgess, Stephanie can be contacted via phone (850) 688-0489.Contact Information
Primary practice address
4114 Fitzgerald Rd
Tallahassee FL 32311-3687
Phone: (850) 688-0489
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 17996 | Florida |
Profile Details
| NPI number | 1528246337 |
|---|---|
| LBN Legal business name | Burgess, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2008 |
| Last updated | Sep 4th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528246337 | NPPES |
| West Virginia | MEDICAID | 0159409000 |
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