Burdett, Jacob Mark
Burdett, Jacob Mark is an individual health care provider with primary practice located at 6475 S Yale Ave Ste 401 , Tulsa OK 74136-7818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Burdett, Jacob Mark can be contacted via phone (918) 502-9555.Contact Information
Primary practice address
6475 S Yale Ave Ste 401
Tulsa OK 74136-7818
Phone: (918) 502-9555
Fax: (918) 502-9559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036160720 | Illinois |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 7558 | Oklahoma |
Profile Details
| NPI number | 1104366574 |
|---|---|
| LBN Legal business name | Burdett, Jacob Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2017 |
| Last updated | Dec 14th, 2023 - about 3 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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