Everett Carl Burgess in Silver Lake - Specialist
Everett Carl Burgess - NPI 1437261039
Everett Carl Burgess is a Specialist in Silver Lake, Ohio. Everett Carl Burgess practices all healthcare services and medical treatments related to Specialist. The NPI Number for Everett Carl Burgess is 1437261039. The last update date is 2009-02-24.
Everett Carl Burgess's current location address is 2937 Ivanhoe Rd, Silver Lake, Ohio. You can contact this provider via phone number 3309234118. The mailing address for Everett Carl Burgess is 2937 Ivanhoe Rd, Silver Lake, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Everett Carl Burgess |
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Address | 2937 Ivanhoe Rd, Silver Lake, Ohio |
Phone Number | 3309234118 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1437261039 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2009-02-24 |
Provider Mailing Address Detail
Address | 2937 Ivanhoe Rd |
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City | Silver Lake |
State | Ohio (OH) |
Post Code | 442243011 |
Phone Number | 3309234118 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 35040675 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
343891 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Everett Carl Burgess by the Centers for Medicare & Medicaid Services (CMS)?
The Everett Carl Burgess has been assigned the NPI (National Provider Identifier) 1437261039. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Everett Carl Burgess is geographically located?
The Everett Carl Burgess is physically situated at the following location: 2937 Ivanhoe Rd, Silver Lake, OH, 442243011.
What is the Everett Carl Burgess's specialty and taxonomy code?
The Everett Carl Burgess's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Everett Carl Burgess receive its 1437261039 assignment from the Centers for Medicare & Medicaid Services?
The Everett Carl Burgess was assigned its 1437261039 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Everett Carl Burgess most recently updated or revised?
The information pertaining to Everett Carl Burgess, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-24.