Burgess, William Patrick

Burgess, William Patrick is an individual health care provider with primary practice located at 2711 Randolph Rd Bldg 400, Charlotte NC 28207-2027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Burgess, William Patrick can be contacted via phone (704) 348-2992.

Contact Information

Primary practice address
2711 Randolph Rd Bldg 400 Charlotte NC 28207-2027
Phone: (704) 348-2992
Fax: (704) 334-3061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 26089 North Carolina

Profile Details

NPI number 1437101037
LBN Legal business name Burgess, William Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437101037 NPPES
North Carolina MEDICAID 79-19989
North Carolina MEDICAID 260890

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