Burgess, Elizabeth Jeanne
Burgess, Elizabeth Jeanne is an sole proprietor health care provider with primary practice located at 7495 W 29Th Ave , Wheat Ridge CO 80033. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Burgess, Elizabeth Jeanne can be contacted via phone (303) 761-1977.Contact Information
Primary practice address
7495 W 29Th Ave
Wheat Ridge CO 80033
Phone: (303) 761-1977
Fax: (303) 343-0247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036160606 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR.0072622 | Colorado |
Profile Details
| NPI number | 1962060723 |
|---|---|
| LBN Legal business name | Burgess, Elizabeth Jeanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2019 |
| Last updated | Jul 9th, 2024 - about 2 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 | 1962060723 | NPPES |
| Colorado | Other | 029583 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 9000230073 | KAISER COMMERCIAL NUMBER |
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