Burnside, John Davis

Burnside, John Davis is an sole proprietor health care provider with primary practice located at 1200 S Cedar Crest Blvd , Allentown PA 18103-6202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Burnside, John Davis can be contacted via phone (484) 862-3232.

Contact Information

Primary practice address
1200 S Cedar Crest Blvd Allentown PA 18103-6202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OT020611 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS023994 Pennsylvania

Profile Details

NPI number 1366835563
LBN Legal business name Burnside, John Davis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2015
Last updated Jul 14th, 2025 - about last year

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 1366835563 NPPES
Pennsylvania MEDICAID 103143369

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