Provider Demographics
NPI:1578544235
Name:BURTON, JOSEPH FRANKLIN JR (RPH,CFTS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANKLIN
Last Name:BURTON
Suffix:JR
Gender:M
Credentials:RPH,CFTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E LINDSAY ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-3008
Mailing Address - Country:US
Mailing Address - Phone:336-272-7139
Mailing Address - Fax:336-272-4779
Practice Address - Street 1:120 E LINDSAY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-3008
Practice Address - Country:US
Practice Address - Phone:336-272-7139
Practice Address - Fax:336-272-4779
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5513183500000X
NCCFTS1099225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5513OtherPHARMACY LICENSE
NCCFTS1009OtherAMERICAN BOARD FOR CERTIFICATIONS IN ORTHOTICS PROSTHETICS & PEDORTHICS INC