Burgess, Thomas A.

Burgess, Thomas A. is an individual health care provider with primary practice located at 2305 N Parham Rd Suite 3, Richmond VA 23229-3156. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Burgess, Thomas A. can be contacted via phone (804) 270-1124.

Contact Information

Primary practice address
2305 N Parham Rd Suite 3 Richmond VA 23229-3156
Phone: (804) 270-1124
Fax: (804) 270-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002576 Virginia

Profile Details

NPI number 1316092703
LBN Legal business name Burgess, Thomas A.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316092703 NPPES
Virginia Other 040768 VALUE OPTINS PROVIDER NUM
Virginia Other 221239 VALUE OPTINS PROVIDER NUM

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