Burgess, Jillana G.

Burgess, Jillana G. is an sole proprietor health care provider with primary practice located at 315 W Washington Ave Ste A, Artesia NM 88210-2800. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Burgess, Jillana G. can be contacted via phone (505) 748-3305.

Contact Information

Primary practice address
315 W Washington Ave Ste A Artesia NM 88210-2800
Fax: (505) 748-3305
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 845 New Mexico

Profile Details

NPI number 1447250881
LBN Legal business name Burgess, Jillana G.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447250881 NPPES
New Mexico Other 850327964 LOVELACE
New Mexico MEDICAID N8814 LOVELACE
New Mexico Other 850327964 LOVELACE
New Mexico Other 850327964 LOVELACE
New Mexico Other 850327964 LOVELACE
New Mexico Other K895 LOVELACE
New Mexico Other 850327964 LOVELACE

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