Burroughs, John Robert
Burroughs, John Robert is an sole proprietor health care provider with primary practice located at 300 Garden Of The Gods Rd Ste 100, Colorado Springs CO 80907-4246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Burroughs, John Robert can be contacted via phone (719) 473-8801.Contact Information
Primary practice address
300 Garden Of The Gods Rd Ste 100
Colorado Springs CO 80907-4246
Phone: (719) 473-8801
Fax: (719) 473-8581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 44251 | Colorado |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 44251 | Colorado |
Profile Details
| NPI number | 1003866484 |
|---|---|
| LBN Legal business name | Burroughs, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 12th, 2023 - about last year |
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 | 1003866484 | NPPES |
| Colorado | MEDICAID | 21637229 | |
| Colorado | Other | DF0561 | |
| Colorado | Other | 1003866484 |
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