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
Fax: (505) 524-8406
Website:

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
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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