Burnham, Jordan M

Burnham, Jordan M is an individual health care provider with primary practice located at 303 Veterans Blvd Ste A , Denham Springs LA 70726-4723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Burnham, Jordan M can be contacted via phone (225) 523-7624.

Contact Information

Primary practice address
303 Veterans Blvd Ste A Denham Springs LA 70726-4723
Fax: (225) 523-7625
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 307857 Louisiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 307857 Louisiana

Profile Details

NPI number 1427312800
LBN Legal business name Burnham, Jordan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated May 18th, 2022 - about 2 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 1427312800 NPPES
Louisiana Other 307857 LA MEDICAL LICENSE

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