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Search › Indiana › 152W00000X

Jonathan Burns

NPI 1568679132 · on the registry since 2007 · sole proprietor

Practice

Address
9010 Michigan Rd
Indianapolis, IN 46268
Phone
(317) 532-1606
Fax
(317) 532-1632
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana