Burgess, Scott Christopher
Burgess, Scott Christopher is an individual health care provider with primary practice located at 130 Goff Mountain Rd , Cross Lanes WV 25313-1419. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Burgess, Scott Christopher can be contacted via phone (304) 388-7055.Contact Information
Primary practice address
130 Goff Mountain Rd
Cross Lanes WV 25313-1419
Phone: (304) 388-7055
Fax: (304) 388-7508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2350 | West Virginia |
Profile Details
| NPI number | 1205858438 |
|---|---|
| LBN Legal business name | Burgess, Scott Christopher |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Nov 15th, 2007 - about 18 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 | 1205858438 | NPPES |
| West Virginia | MEDICAID | 3810006515 |
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