Burnett, Dawn Renae

Burnett, Dawn Renae is an individual health care provider with primary practice located at 2001 E Kiehl Ave Ste 12 , Sherwood AR 72120-3123. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Burnett, Dawn Renae can be contacted via phone (501) 864-8992.

Contact Information

Primary practice address
2001 E Kiehl Ave Ste 12 Sherwood AR 72120-3123
Phone: (501) 864-8992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Arkansas

Profile Details

NPI number 1063061216
LBN Legal business name Burnett, Dawn Renae
Credentials BSE - DYSLEXIA K-12
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Sep 10th, 2019 - about 5 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 1063061216 NPPES
Arkansas MEDICAID 252Y00000X

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