Burson, John M.

Burson, John M. is an individual health care provider with primary practice located at 2115 S Fremont Ave Suite 2900, Springfield MO 65804-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Burson, John M. can be contacted via phone (417) 820-3535.

Contact Information

Primary practice address
2115 S Fremont Ave Suite 2900 Springfield MO 65804-2239
Fax: (417) 820-3540
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 119369 Missouri

Profile Details

NPI number 1255473088
LBN Legal business name Burson, John M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Oct 2nd, 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 1255473088 NPPES
Missouri MEDICAID 204647010
Missouri Other 98570
Missouri MEDICAID 150465001

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