Burgess, Brian

Burgess, Brian is an sole proprietor health care provider with primary practice located at 2433 Byron Center Ave Sw 203, Wyoming MI 49519-2196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Burgess, Brian can be contacted via phone (616) 819-9808.

Contact Information

Primary practice address
2433 Byron Center Ave Sw 203 Wyoming MI 49519-2196
Phone: (616) 819-9808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 07MC14 New Jersey

Profile Details

NPI number 1326211129
LBN Legal business name Burgess, Brian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2008
Last updated Apr 12th, 2008 - about 18 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 1326211129 NPPES
Michigan Other 10114 CMS

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