Burgess, Corey A
Burgess, Corey A is an sole proprietor health care provider with primary practice located at 3236 Hwy 15 S , Sumter SC 29150-9657. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Transportation Services / Ambulance. Transportation Services / Ambulance is his primary health care specialty. Burgess, Corey A can be contacted via phone (803) 506-2005.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | ||
| Transportation Services / Ambulance | 341600000X |
Profile Details
| NPI number | 1063646610 |
|---|---|
| LBN Legal business name | Burgess, Corey A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2009 |
| Last updated | Feb 19th, 2016 - about 10 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 | 1063646610 | NPPES |
| South Carolina | Other | 1063646610 | NPPES |
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