Burroughs, Jefferson M

Burroughs, Jefferson M is an individual health care provider with primary practice located at 3000 Mack Rd Suite 100, Fairfield OH 45014-5335. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Burroughs, Jefferson M can be contacted via phone (513) 751-4222.

Contact Information

Primary practice address
3000 Mack Rd Suite 100 Fairfield OH 45014-5335
Phone: (513) 751-4222
Fax: (513) 751-4353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.060636 Ohio
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 35.060636 Ohio

Profile Details

NPI number 1740289453
LBN Legal business name Burroughs, Jefferson M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Nov 12th, 2015 - about 9 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 1740289453 NPPES
Indiana MEDICAID 100383700
Indiana MEDICAID 0807587
Indiana MEDICAID 0773102

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