Burgos, Francisco

Burgos, Francisco is an individual health care provider with primary practice located at 1209 York Rd Suite 200, Lutherville MD 21093-6207. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burgos, Francisco can be contacted via phone (410) 821-9490.

Contact Information

Primary practice address
1209 York Rd Suite 200 Lutherville MD 21093-6207
Fax: (410) 821-9495
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA1301 Maryland

Profile Details

NPI number 1114924495
LBN Legal business name Burgos, Francisco
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 11th, 2012 - about 12 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 1114924495 NPPES
Maryland MEDICAID 655510100

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