Burseth, Brian

Burseth, Brian is an individual health care provider with primary practice located at 22 W Crystal Lake Ave , Crystal Lake IL 60014-6104. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burseth, Brian can be contacted via phone (815) 459-9900.

Contact Information

Primary practice address
22 W Crystal Lake Ave Crystal Lake IL 60014-6104
Phone: (815) 459-9900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019030241 Illinois

Profile Details

NPI number 1831572718
LBN Legal business name Burseth, Brian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2015
Last updated Jul 9th, 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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