Burgess, Timothy W

Burgess, Timothy W is an sole proprietor health care provider with primary practice located at 2100 Madison Ave , Granite City IL 62040-4701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Burgess, Timothy W can be contacted via phone (618) 798-3000.

Contact Information

Primary practice address
2100 Madison Ave Granite City IL 62040-4701
Phone: (618) 798-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070007117 Illinois

Profile Details

NPI number 1982940078
LBN Legal business name Burgess, Timothy W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2012
Last updated Dec 18th, 2012 - about 13 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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