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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1821048422 | NPPES |
| Illinois | MEDICAID | 036110369 |
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