Individual
JACOB PAUL BURKHART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
477 COOPER RD., SUITE 480, WESTERVILLE, OH 43081
(614) 823-7135
(614) 823-7137
Mailing address
1810 MACKENZIE DR, COLUMBUS, OH 43220-2967
(614) 273-2250
(614) 273-2255
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
34005913
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027014
—
OH
Enumeration date
09/14/2005
Last updated
10/11/2023
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