Burleson, Sondra J

Burleson, Sondra J is an individual health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804-3503. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Burleson, Sondra J can be contacted via phone (417) 347-1111.

Contact Information

Primary practice address
1102 W 32Nd St Joplin MO 64804-3503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 072383 Missouri

Profile Details

NPI number 1821025339
LBN Legal business name Burleson, Sondra J
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated May 19th, 2009 - about 16 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 1821025339 NPPES
Oklahoma MEDICAID 100184500A
Oklahoma MEDICAID 255093205
Oklahoma Other 162199
Oklahoma MEDICAID 100374010A

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