Burgin, Jeremy Wayne
Burgin, Jeremy Wayne is an sole proprietor health care provider with primary practice located at 1800 Sheffield Dr Ste D , Clovis NM 88101-4946. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burgin, Jeremy Wayne can be contacted via phone (575) 714-5055.Contact Information
Primary practice address
1800 Sheffield Dr Ste D
Clovis NM 88101-4946
Phone: (575) 714-5055
Fax: (575) 762-9573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD3167 | New Mexico |
Profile Details
| NPI number | 1891925871 |
|---|---|
| LBN Legal business name | Burgin, Jeremy Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2009 |
| Last updated | Jul 23rd, 2009 - about 17 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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