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Contact Information

JEFFREY M BURNHAM, MD
10310 THE GROVE BLVD STE 100
BATON ROUGE, LA70836-6455
 Phone: 225-761-5200
 Fax: 225-761-5702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JEFFREY M BURNHAM · (Male)

NPI Number 1295729481
Status Active
Credentials MD
Entity Individual
Enumeration date 09/02/2005
Last updated 03/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 017109
  • LA Medicaid 1357502
  • LA Other 080179868 RAILROAD MEDICARE
Hospital affiliation(s)
  • OCHSNER MEDICAL CENTER-BATON ROUGE - (Acute Care)
    17000 MEDICAL CENTER DR
    BATON ROUGE, LA 70816
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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