Burton, Jack

Burton, Jack is an individual health care provider with primary practice located at 9930 Kincey Ave Ste 165 , Huntersville NC 28078-6541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Burton, Jack can be contacted via phone (704) 947-5005.

Contact Information

Primary practice address
9930 Kincey Ave Ste 165 Huntersville NC 28078-6541
Phone: (704) 947-5005
Fax: (877) 881-8455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 215596-1 New York

Profile Details

NPI number 1700897121
LBN Legal business name Burton, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 27th, 2021 - about 4 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 1700897121 NPPES
North Carolina MEDICAID 1700897121

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