Burton, Gary Von

Burton, Gary Von is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Medicine, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Burton, Gary Von can be contacted via phone (318) 675-4881.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Medicine Shreveport LA 71103-4228
Phone: (318) 675-4881
Fax: (318) 675-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 07461R Louisiana

Profile Details

NPI number 1316968761
LBN Legal business name Burton, Gary Von
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 7th, 2017 - 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 1316968761 NPPES
Louisiana MEDICAID 1363731

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