Burdge, Jeremy J

Burdge, Jeremy J is an sole proprietor health care provider with primary practice located at 3732 Olentangy River Rd Suite C, Columbus OH 43214-3449. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Other Service Providers / Specialist is his primary health care specialty. Burdge, Jeremy J can be contacted via phone (614) 451-0411.

Contact Information

Primary practice address
3732 Olentangy River Rd Suite C Columbus OH 43214-3449
Phone: (614) 451-0411
Fax: (614) 451-8037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-042744 Ohio
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35.042744 Ohio

Profile Details

NPI number 1235113408
LBN Legal business name Burdge, Jeremy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Aug 30th, 2013 - about 11 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 1235113408 NPPES
Ohio MEDICAID 0553753
Ohio Other 000000118889

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