Jaffe, Burton S

Jaffe, Burton S is an individual health care provider with primary practice located at 2877 Oak Point Ter Dept 30535, The Villages FL 32163-2649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jaffe, Burton S can be contacted via phone (618) 579-9461.

Contact Information

Primary practice address
2877 Oak Point Ter Dept 30535 The Villages FL 32163-2649
Phone: (618) 579-9461
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-110369 Illinois

Profile Details

NPI number 1821048422
LBN Legal business name Jaffe, Burton S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 23rd, 2014 - about 11 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 1821048422 NPPES
Illinois MEDICAID 036110369

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