Burton, Jacob
Burton, Jacob is an individual health care provider with primary practice located at 301 Burkesville Street , Columbia KY 42728-1921. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burton, Jacob can be contacted via phone (270) 384-6043.Contact Information
Primary practice address
301 Burkesville Street
Columbia KY 42728-1921
Phone: (270) 384-6043
Fax: (270) 384-0672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | KY1893DT | Kentucky |
Profile Details
| NPI number | 1629324918 |
|---|---|
| LBN Legal business name | Burton, Jacob |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2012 |
| Last updated | Jun 3rd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629324918 | NPPES |
| Kentucky | Other | KY1893DT | STATE LICENSE NUMBER |
| Kentucky | Other | 1841253424 | STATE LICENSE NUMBER |
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