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Contact Information

WILDINE BURGESS
623 W MAIN ST # 1032
OKLAHOMA CITY, OK73102-2221
 Phone: 405-417-7801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Behavior Technician

106S00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for WILDINE BURGESS · (Female)

NPI Number 1326709718
Status Active
Credentials
Entity Individual
Enumeration date 01/06/2022
Last updated 03/21/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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