Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34.012969 | OH |
N | 111NI0900X | Internist | 34.012969 | OH |
Y | 207RH0002X | Hospice and Palliative Medicine | 34.012969 | OH |
NPI | 1376939421 |
---|---|
Provider Name | Jonathan Burton |
First Address | Dublin, OH 43016-4141 |
Second Address | Columbus, OH 43214-3463 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 25/01/2022 |