Burgess, John Howard

Burgess, John Howard is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Burgess, John Howard can be contacted via phone (419) 526-8000.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Phone: (419) 526-8000
Fax: (418) 520-2846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35-06-0902-B Ohio

Profile Details

NPI number 1104908318
LBN Legal business name Burgess, John Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Mar 26th, 2014 - about 12 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 1104908318 NPPES
Ohio MEDICAID 0945866
Ohio Other 35060902B

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