Burgess, Samuel
Burgess, Samuel is an individual health care provider with primary practice located at 144 Canal St , Nashua NH 03064-2886. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Burgess, Samuel can be contacted via phone (603) 459-2725.Contact Information
Primary practice address
144 Canal St
Nashua NH 03064-2886
Phone: (603) 459-2725
Fax: (603) 459-2783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2587 | New Hampshire |
Profile Details
| NPI number | 1891240586 |
|---|---|
| LBN Legal business name | Burgess, Samuel |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2016 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891240586 | NPPES |
| New Hampshire | MEDICAID | 3071948 |
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