Burks, Michael
Burks, Michael is an individual health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Burks, Michael can be contacted via phone (541) 773-3863.Contact Information
Primary practice address
19 Myrtle St
Medford OR 97504-7337
Phone: (541) 773-3863
Fax: (541) 776-2892
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201708072NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 23793 | California |
Profile Details
NPI number | 1306274303 |
---|---|
LBN Legal business name | Burks, Michael |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2013 |
Last updated | Jul 29th, 2021 - about 3 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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