Burruss, Jyoti B.

Burruss, Jyoti B. is an individual health care provider with primary practice located at 3810 Springhurst Blvd Suite 200, Louisville KY 40241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Burruss, Jyoti B. can be contacted via phone (502) 583-1749.

Contact Information

Primary practice address
3810 Springhurst Blvd Suite 200 Louisville KY 40241
Phone: (502) 583-1749
Fax: (502) 329-8184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 28215 Kentucky

Profile Details

NPI number 1003821810
LBN Legal business name Burruss, Jyoti B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 17th, 2018 - about 8 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 1003821810 NPPES
Kentucky MEDICAID 64282155
Kentucky MEDICAID 100462680

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