Burleson, Ericka

Burleson, Ericka is an sole proprietor health care provider with primary practice located at 193461 E Co Rd 304 , Fort Supply OK 73841. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Burleson, Ericka can be contacted via phone (580) 766-2311.

Contact Information

Primary practice address
193461 E Co Rd 304 Fort Supply OK 73841
Phone: (580) 766-2311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1396406757
LBN Legal business name Burleson, Ericka
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2022
Last updated Jan 6th, 2022 - 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.

Request for update

Popular Providers