Burgess, Scott David
Burgess, Scott David is an individual health care provider with primary practice located at 1111 Leffingwell Ave Ne Suite 200, Grand Rapids MI 49525-6406. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Burgess, Scott David can be contacted via phone (616) 459-7101.Contact Information
Primary practice address
1111 Leffingwell Ave Ne Suite 200
Grand Rapids MI 49525-6406
Phone: (616) 459-7101
Fax: (616) 464-6170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301087092 | Michigan |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 4301087092 | Michigan |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301087092 | Michigan |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 4301087092 | Michigan |
Profile Details
| NPI number | 1023080991 |
|---|---|
| LBN Legal business name | Burgess, Scott David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 1st, 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 | 1023080991 | NPPES |
| Michigan | MEDICAID | 4834931 |
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