Burks, Alicia
Burks, Alicia is an sole proprietor health care provider with primary practice located at 15272 W Gabriela Dr , Surprise AZ 85379-6324. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Burks, Alicia can be contacted via phone (623) 523-8504.Contact Information
Primary practice address
15272 W Gabriela Dr
Surprise AZ 85379-6324
Phone: (623) 523-8504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN133223 | Arizona |
Profile Details
| NPI number | 1326164666 |
|---|---|
| LBN Legal business name | Burks, Alicia |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326164666 | NPPES |
| Arizona | MEDICAID | 032924 |
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