Burgess, Gregory E.
Burgess, Gregory E. is an individual health care provider with primary practice located at 1040 Division St , Mauston WI 53948-1931. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Burgess, Gregory E. can be contacted via phone (608) 847-5000.Contact Information
Primary practice address
1040 Division St
Mauston WI 53948-1931
Phone: (608) 847-5000
Fax: (608) 847-9875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3023-23 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3023-23 | Wisconsin |
Profile Details
| NPI number | 1932458932 |
|---|---|
| LBN Legal business name | Burgess, Gregory E. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2012 |
| Last updated | Jan 24th, 2019 - about 7 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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