Burgess, Donald R

Burgess, Donald R is an individual health care provider with primary practice located at 3 Shape Dr , Kennebunk ME 04043-6601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Burgess, Donald R can be contacted via phone (207) 467-8983.

Contact Information

Primary practice address
3 Shape Dr Kennebunk ME 04043-6601
Phone: (207) 467-8983
Fax: (207) 467-8981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 014097 Maine
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 014097 Maine

Profile Details

NPI number 1336101104
LBN Legal business name Burgess, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Aug 9th, 2022 - about 4 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 1336101104 NPPES
Maine MEDICAID 248080099
Maine Other 1041865
Maine Other MNT053
Maine Other 018435
Maine MEDICAID 30208022
Maine Other 610036401

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