Jonathan Lyndell Burt in Detroit - Specialist
Jonathan Lyndell Burt - NPI 1740302025
Jonathan Lyndell Burt is a Specialist in Detroit, Michigan. Jonathan Lyndell Burt practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jonathan Lyndell Burt is 1740302025. The last update date is 2007-07-08.
Jonathan Lyndell Burt's current location address is 20966 Grand River Ave, Detroit, Michigan. You can contact this provider via phone number 3132554070. The mailing address for Jonathan Lyndell Burt is 20966 Grand River Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Lyndell Burt |
|---|---|
| Address | 20966 Grand River Ave, Detroit, Michigan |
| Phone Number | 3132554070 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1740302025 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20966 Grand River Ave |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482193937 |
| Phone Number | 3132554070 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | BUS2002-0153 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jonathan Lyndell Burt by the Centers for Medicare & Medicaid Services (CMS)?
The Jonathan Lyndell Burt has been assigned the NPI (National Provider Identifier) 1740302025. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jonathan Lyndell Burt located?
The Jonathan Lyndell Burt is located at 20966 Grand River Ave, Detroit, MI 482193937.
What is Jonathan Lyndell Burt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathan Lyndell Burt's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Jonathan Lyndell Burt receive the assignment of its 1740302025 from the Centers for Medicare & Medicaid Services?
The Jonathan Lyndell Burt was issued its 1740302025 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the Jonathan Lyndell Burt's information last updated?
The Jonathan Lyndell Burt's information was last updated on 2007-07-08.