Burgess, Wildine

Burgess, Wildine is an sole proprietor health care provider with primary practice located at 3930 E Ray Rd Ste 120 , Phoenix AZ 85044-7172. She recently has 7 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Other Service Providers / Driver, Agencies / Case Management, Nursing Service Related Providers / Day Training/Habilitation Specialist, Respite Care Facility / Respite Care, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Burgess, Wildine can be contacted via phone (240) 350-2863.

Contact Information

Primary practice address
3930 E Ray Rd Ste 120 Phoenix AZ 85044-7172
Phone: (240) 350-2863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Other Service Providers / Driver 172A00000X
Agencies / Case Management 251B00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Respite Care Facility / Respite Care 385H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1326709718
LBN Legal business name Burgess, Wildine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2022
Last updated May 17th, 2024 - about 2 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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