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Contact Information

JEREMY J BURDGE, MD
3732 OLENTANGY RIVER RD
SUITE C
COLUMBUS, OH43214-3449
 Phone: 614-451-0411
 Fax: 614-451-8037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEREMY J BURDGE · (Male)

NPI Number 1235113408
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 08/30/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35-042744
  • OH License # 35.042744
  • OH Medicaid 0553753
  • OH Other 000000118889 ANTHEM PROVIDER ID
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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