Burrus, Jason Keith

Burrus, Jason Keith is an individual health care provider with primary practice located at 3485 Independence Dr , Homewood AL 35209-5603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Burrus, Jason Keith can be contacted via phone (205) 930-0920.

Contact Information

Primary practice address
3485 Independence Dr Homewood AL 35209-5603
Phone: (205) 930-0920
Fax: (205) 445-0115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 23547 Alabama

Profile Details

NPI number 1619935178
LBN Legal business name Burrus, Jason Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 15th, 2013 - about 11 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 1619935178 NPPES
Alabama Other 511-18968 BLUE CROSS AND BLUE SHIELD OF ALABAMA
Alabama MEDICAID 133607 BLUE CROSS AND BLUE SHIELD OF ALABAMA
Alabama Other 0366100001 BLUE CROSS AND BLUE SHIELD OF ALABAMA
Alabama Other 511-20095 BLUE CROSS AND BLUE SHIELD OF ALABAMA

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