Burgess, Wildine
Burgess, Wildine is an sole proprietor health care provider with primary practice located at 3930 E Ray Rd Ste 120 , Phoenix AZ 85044-7172. She recently has 7 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Other Service Providers / Driver, Agencies / Case Management, Nursing Service Related Providers / Day Training/Habilitation Specialist, Respite Care Facility / Respite Care, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Burgess, Wildine can be contacted via phone (240) 350-2863.Contact Information
Primary practice address
3930 E Ray Rd Ste 120
Phoenix AZ 85044-7172
Phone: (240) 350-2863
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | ||
Other Service Providers / Driver | 172A00000X | ||
Agencies / Case Management | 251B00000X | ||
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
Respite Care Facility / Respite Care | 385H00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1326709718 |
---|---|
LBN Legal business name | Burgess, Wildine |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 6th, 2022 |
Last updated | May 17th, 2024 - about 4 months 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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