Burgess, Deidra
Burgess, Deidra is an individual health care provider with primary practice located at 712 Mercer St Ste D , Princeton WV 24740-3114. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Burgess, Deidra can be contacted via phone (304) 431-2443.Contact Information
Primary practice address
712 Mercer St Ste D
Princeton WV 24740-3114
Phone: (304) 431-2443
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1053988568 |
|---|---|
| LBN Legal business name | Burgess, Deidra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2021 |
| Last updated | Jun 4th, 2021 - about 5 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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