Burgess, Christopher A
Burgess, Christopher A is an sole proprietor health care provider with primary practice located at 750 Stewart Rd Suite #2, Monroe MI 48162-4291. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burgess, Christopher A can be contacted via phone (734) 242-8630.Contact Information
Primary practice address
750 Stewart Rd Suite #2
Monroe MI 48162-4291
Phone: (734) 242-8630
Fax: (734) 242-8666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002739 | Michigan |
Profile Details
| NPI number | 1023182573 |
|---|---|
| LBN Legal business name | Burgess, Christopher A |
| Credentials | O.D., MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1023182573 | NPPES |
| Michigan | Other | CB002739 | COMERCIAL BCBS MI VISION |
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