MR. JONATHAN LYNDELL BURT LMT
NPI 1740302025
Specialist in Detroit, MI

Active since April 06, 2007
20966 GRAND RIVER AVE, DETROIT, MI 48219(313) 255-4070 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jonathan Lyndell Burt Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN LYNDELL BURT LMT (NPI 1740302025) is an individual specialist in Detroit, Michigan, licensed in Michigan (BUS2002-01531) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1740302025
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. JONATHAN LYNDELL BURTCredential: LMT
Location Address20966 GRAND RIVER AVEDetroit, MI 48219-3937
Mailing Address20966 Grand River AveDetroit, MI 48219-3937 · (313) 255-4070
Sole ProprietorYes
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1740302025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · BUS2002-01531
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20966 GRAND RIVER AVE, Detroit, MI 48219

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
20966 GRAND RIVER AVE
DETROIT, MI 48219
Clinical Medical Laboratory
20966 GRAND RIVER AVE
DETROIT, MI 48219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Burt's NPI number?

The NPI number for Jonathan Burt is 1740302025. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Jonathan Burt located?

Jonathan Burt practices at 20966 Grand River Ave, Detroit, MI 48219. The listed phone number is (313) 255-4070.

What is Jonathan Burt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jonathan Burt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.