Burks, Jesse Brian
Burks, Jesse Brian is an individual health care provider with primary practice located at 5220 Northshore Dr , North Little Rock AR 72118-5297. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Burks, Jesse Brian can be contacted via phone (501) 663-6455.Contact Information
Primary practice address
5220 Northshore Dr
North Little Rock AR 72118-5297
Phone: (501) 663-6455
Fax: (501) 663-4877
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 184 | Arkansas |
Profile Details
NPI number | 1164492989 |
---|---|
LBN Legal business name | Burks, Jesse Brian |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 2006 |
Last updated | Jun 5th, 2024 - about 3 months 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 | 1164492989 | NPPES |
Arkansas | MEDICAID | 137319717 |
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