Burns, John M

Burns, John M is an individual health care provider with primary practice located at 1975 Old Moultrie Rd , St Augustine FL 32086-5164. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Burns, John M can be contacted via phone (904) 825-0046.

Contact Information

Primary practice address
1975 Old Moultrie Rd St Augustine FL 32086-5164
Phone: (904) 825-0046
Fax: (904) 826-1586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3029 Florida

Profile Details

NPI number 1245277417
LBN Legal business name Burns, John M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 22nd, 2014 - about 10 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 1245277417 NPPES
Florida Other 65781V MEDICARE ID
Florida MEDICAID 340503600 MEDICARE ID

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