Burgun, Chanele M

Burgun, Chanele M is an individual health care provider with primary practice located at 212 Highbridge St C , Fayetteville NY 13066-1981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Burgun, Chanele M can be contacted via phone (315) 637-0477.

Contact Information

Primary practice address
212 Highbridge St C Fayetteville NY 13066-1981
Fax: (315) 637-0559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 217557 New York

Profile Details

NPI number 1619954823
LBN Legal business name Burgun, Chanele M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 8th, 2015 - about 11 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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