Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | CFTS1099 | NC |
NPI | 1578544235 |
---|---|
Provider Name | Joseph Franklin Burton JR. |
First Address | Greensboro, NC 27401-3008 |
Second Address | Greensboro, NC 27401-3008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 20/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5513 | PHARMACY LICENSE (01) | NC |
CFTS1009 | AMERICAN BOARD FOR CERTIFICATIONS IN ORTHOTICS PROSTHETICS & PEDORTHICS INC (01) | NC |