Burgoon, Mya A

Burgoon, Mya A is an sole proprietor health care provider with primary practice located at 8000 Johnson Creek Rd , Charlotte NC 28215-9403. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Burgoon, Mya A can be contacted via phone (704) 258-8439.

Contact Information

Primary practice address
8000 Johnson Creek Rd Charlotte NC 28215-9403
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife, Lay 175M00000X

Profile Details

NPI number 1699354258
LBN Legal business name Burgoon, Mya A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2021
Last updated Apr 2nd, 2021 - about 4 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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