Burgess, Ted
Burgess, Ted is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Burgess, Ted can be contacted via phone (208) 367-3069.Contact Information
Primary practice address
1055 N Curtis Rd
Boise ID 83706-1309
Phone: (208) 367-3069
Fax: (208) 367-3002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW24566 | Idaho |
Profile Details
| NPI number | 1770618712 |
|---|---|
| LBN Legal business name | Burgess, Ted |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - 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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