Burnham, Jeremy Mark
Burnham, Jeremy Mark is an individual health care provider with primary practice located at 10310 The Grove Blvd , Baton Rouge LA 70836. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Burnham, Jeremy Mark can be contacted via phone (225) 761-5200.Contact Information
Primary practice address
10310 The Grove Blvd
Baton Rouge LA 70836
Phone: (225) 761-5200
Fax: (225) 761-5450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R2714 | Kentucky |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 304948 | Louisiana |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 304948 | Louisiana |
Profile Details
| NPI number | 1780979146 |
|---|---|
| LBN Legal business name | Burnham, Jeremy Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Mar 31st, 2021 - about 5 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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