Burroughs, Jonathan Nick

Burroughs, Jonathan Nick is an individual health care provider with primary practice located at 1995 S Main St Suite 801, Blacksburg VA 24060-6637. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Burroughs, Jonathan Nick can be contacted via phone (540) 951-2703.

Contact Information

Primary practice address
1995 S Main St Suite 801 Blacksburg VA 24060-6637
Phone: (540) 951-2703
Fax: (540) 953-0873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305202962 Virginia

Profile Details

NPI number 1578551867
LBN Legal business name Burroughs, Jonathan Nick
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 9th, 2007 - about 17 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 1578551867 NPPES
Virginia Other 436991 ANTHEM-BLACKSBURG OFFICE
Virginia Other 436992 ANTHEM-BLACKSBURG OFFICE
Virginia Other 0575302 ANTHEM-BLACKSBURG OFFICE
Virginia Other 259904 ANTHEM-BLACKSBURG OFFICE

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