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Contact Information

JACK B BURGER
1100 NORTH AVE
GRAND JUNCTION, CO81501-3122
 Phone: 970-819-9581
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACK B BURGER · (Male)

NPI # 1356019715
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2021
Last updated 11/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # PA.0008010
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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