Burks, Deland Darrell
Burks, Deland Darrell is an individual health care provider with primary practice located at 5707 Jenny Lind Rd , Fort Smith AR 72908-7435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Burks, Deland Darrell can be contacted via phone (479) 452-9416.Contact Information
Primary practice address
5707 Jenny Lind Rd
Fort Smith AR 72908-7435
Phone: (479) 452-9416
Fax: (479) 484-0827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | N7610 | Arkansas |
Profile Details
| NPI number | 1528034873 |
|---|---|
| LBN Legal business name | Burks, Deland Darrell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Apr 30th, 2019 - about 5 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 | 1528034873 | NPPES |
| Arkansas | MEDICAID | 115912001 | |
| Arkansas | MEDICAID | 100070400A |
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