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Contact Information

JEFFREY S BURNELL, DO
660 BEAVER CREEK CIR
# 110
MAUMEE, OH43537-1745
 Phone: 419-891-6210
 Fax: 419-893-3232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JEFFREY S BURNELL · (Male)

NPI Number 1740573567
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/26/2011
Last updated 01/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34-011393
  • OH License # 34011393
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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