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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1164492989 NPPES
Arkansas MEDICAID 137319717

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