Burroughs, Dale Ray
Burroughs, Dale Ray is an sole proprietor health care provider with primary practice located at 305 Section Line , Hot Springs AR 71913-6913. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burroughs, Dale Ray can be contacted via phone (501) 525-2222.Contact Information
Primary practice address
305 Section Line
Hot Springs AR 71913-6913
Phone: (501) 525-2222
Fax: (501) 525-8650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2308 | Arkansas |
Profile Details
| NPI number | 1003807785 |
|---|---|
| LBN Legal business name | Burroughs, Dale Ray |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Aug 3rd, 2009 - about 15 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 | 1003807785 | NPPES |
| Arkansas | MEDICAID | 102457722 |
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