Burkholder, Donald M

Burkholder, Donald M is an individual health care provider with primary practice located at 78 N Chestnut St , Jefferson OH 44047. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burkholder, Donald M can be contacted via phone (440) 576-7040.

Contact Information

Primary practice address
78 N Chestnut St Jefferson OH 44047
Fax: (440) 576-0022
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13444 Ohio

Profile Details

NPI number 1912074410
LBN Legal business name Burkholder, Donald M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1912074410 NPPES
Ohio MEDICAID 0176581

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