Burton, Glen M

Burton, Glen M is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Burton, Glen M can be contacted via phone (419) 479-5605.

Contact Information

Primary practice address
4235 Secor Rd Toledo OH 43623-4231
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35038372 Ohio

Profile Details

NPI number 1689672081
LBN Legal business name Burton, Glen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated May 31st, 2011 - about 14 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 1689672081 NPPES
Ohio MEDICAID 0400284
Ohio Other 110020586

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