Burks, Carol R
Burks, Carol R is an sole proprietor health care provider with primary practice located at 301 Perkins Dr Ste. C, Las Cruces NM 88005-3248. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Burks, Carol R can be contacted via phone (505) 524-8404.Contact Information
Primary practice address
301 Perkins Dr Ste. C
Las Cruces NM 88005-3248
Phone: (505) 524-8404
Fax: (505) 524-8406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 651 | New Mexico |
Profile Details
| NPI number | 1174671879 |
|---|---|
| LBN Legal business name | Burks, Carol R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Oct 22nd, 2007 - about 18 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 | 1174671879 | NPPES |
| New Mexico | Other | VNM0038 | VALUE OPTIONS |
| New Mexico | MEDICAID | NM100989 | VALUE OPTIONS |
| New Mexico | Other | NM01NL36 | VALUE OPTIONS |
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