Burris, Richard Gerald
Burris, Richard Gerald is an sole proprietor health care provider with primary practice located at 827 F E Sellers Hwy , Monticello MS 39654-9378. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burris, Richard Gerald can be contacted via phone (601) 587-4648.Contact Information
Primary practice address
827 F E Sellers Hwy
Monticello MS 39654-9378
Phone: (601) 587-4648
Fax: (601) 587-0613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 06985 | Mississippi |
Profile Details
| NPI number | 1487652228 |
|---|---|
| LBN Legal business name | Burris, Richard Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487652228 | NPPES |
| Mississippi | MEDICAID | 00015262 |
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