Burnham, Jon M
Burnham, Jon M is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Rheumatology, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Burnham, Jon M can be contacted via phone (215) 590-2547.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Rheumatology
Philadelphia PA 19104-4319
Phone: (215) 590-2547
Fax: (215) 590-4750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD068632L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | MD068632L | Pennsylvania |
Profile Details
| NPI number | 1225058399 |
|---|---|
| LBN Legal business name | Burnham, Jon M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Apr 15th, 2013 - about 12 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 | 1225058399 | NPPES |
| New Jersey | MEDICAID | 8596301 | |
| New Jersey | MEDICAID | 001860043 |
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