Burnett, Richard Lee

Burnett, Richard Lee is an individual health care provider with primary practice located at 405 Buttercup Dr , Mountain Home AR 72653-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burnett, Richard Lee can be contacted via phone (870) 425-3030.

Contact Information

Primary practice address
405 Buttercup Dr Mountain Home AR 72653-2910
Phone: (870) 425-3030
Fax: (870) 508-8136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-4879 Arkansas

Profile Details

NPI number 1609832732
LBN Legal business name Burnett, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 24th, 2014 - about 10 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 1609832732 NPPES
Arkansas MEDICAID 101020001

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