Burrous, Jacob Matthew
Burrous, Jacob Matthew is an sole proprietor health care provider with primary practice located at 2850 Johnson Ferry Rd Ste 100 , Marietta GA 30062-5684. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Burrous, Jacob Matthew can be contacted via phone (770) 643-0868.Contact Information
Primary practice address
2850 Johnson Ferry Rd Ste 100
Marietta GA 30062-5684
Phone: (770) 643-0868
Fax: (770) 643-0869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 007999 | Georgia |
Profile Details
| NPI number | 1548854193 |
|---|---|
| LBN Legal business name | Burrous, Jacob Matthew |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2021 |
| Last updated | Feb 24th, 2021 - about 3 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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