Burks, John Russell
Burks, John Russell is an individual health care provider with primary practice located at 4104 Richards Rd , North Little Rock AR 72117-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Burks, John Russell can be contacted via phone (501) 224-5658.Contact Information
Primary practice address
4104 Richards Rd
North Little Rock AR 72117-2652
Phone: (501) 224-5658
Fax: (501) 224-8114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E12133 | Arkansas |
Profile Details
| NPI number | 1477931863 |
|---|---|
| LBN Legal business name | Burks, John Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2015 |
| Last updated | Feb 28th, 2023 - about 2 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 | 1477931863 | NPPES |
| Arkansas | MEDICAID | 234553001 |
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