Burks, Jonathan Wayne

Burks, Jonathan Wayne is an sole proprietor health care provider with primary practice located at 3024 Business Park Cir , Goodlettsville TN 37072-3132. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Burks, Jonathan Wayne can be contacted via phone (615) 239-2061.

Contact Information

Primary practice address
3024 Business Park Cir Goodlettsville TN 37072-3132
Fax: (615) 296-9949
Website:

Health care specialties

Profile Details

NPI number 1114960143
LBN Legal business name Burks, Jonathan Wayne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Feb 25th, 2008 - 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 1114960143 NPPES
Tennessee MEDICAID 36262671

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