Andrew, Miles Burton

Andrew, Miles Burton is an individual health care provider with primary practice located at 230 E Day Rd Suite 130, Mishawaka IN 46545-3408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Andrew, Miles Burton can be contacted via phone (574) 335-7650.

Contact Information

Primary practice address
230 E Day Rd Suite 130 Mishawaka IN 46545-3408
Phone: (574) 335-7650
Fax: (574) 335-0736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01040450A Indiana

Profile Details

NPI number 1689692188
LBN Legal business name Andrew, Miles Burton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 14th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689692188 NPPES
Indiana MEDICAID 100380840A
Indiana MEDICAID 100380840
Indiana Other 000000889511

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