Individual
MR. JOSEPH CHARLES BURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7343 COMMONWEALTH DR, CINCINNATI, OH 45224-1413
(513) 240-6262
Mailing address
7343 COMMONWEALTH DR, CINCINNATI, OH 45224-1413
(513) 390-2773
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000272862
OHIO SHARED SERVICES
OH
01
—
3124885
DODD
OH
Enumeration date
11/27/2020
Last updated
11/27/2020
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