Burgess, Brandon
Burgess, Brandon is an individual health care provider with primary practice located at 46169 Westlake Dr Ste 300 , Sterling VA 20165-5875. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Burgess, Brandon can be contacted via phone (703) 421-2990.Contact Information
Primary practice address
46169 Westlake Dr Ste 300
Sterling VA 20165-5875
Phone: (703) 421-2990
Fax: (703) 421-2822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0104557585 | Virginia |
Profile Details
| NPI number | 1942861323 |
|---|---|
| LBN Legal business name | Burgess, Brandon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2019 |
| Last updated | Jun 26th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942861323 | NPPES |
| Virginia | Other | 0104557585 | STATE LICENSE |
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