Burgin, Jode Jann
Burgin, Jode Jann is an individual health care provider with primary practice located at 9220 Ellerbe Rd Suite 700, Shreveport LA 71106-6739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Burgin, Jode Jann can be contacted via phone (318) 681-5282.Contact Information
Primary practice address
9220 Ellerbe Rd Suite 700
Shreveport LA 71106-6739
Phone: (318) 681-5282
Fax: (318) 681-5284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301095167 | Michigan |
Profile Details
| NPI number | 1053541565 |
|---|---|
| LBN Legal business name | Burgin, Jode Jann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2009 |
| Last updated | Jan 11th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053541565 | NPPES |
| Louisiana | MEDICAID | 2398521 |
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