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Contact Information

DAVID BURGESS
1411 STEELE AVE
CHANDLER, OK74834-4219
 Phone: 405-882-7949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for DAVID BURGESS · (Male)

NPI Number 1285866996
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2009
Last updated 08/13/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OK Medicaid 080835531
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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