Burton, Bruce Kent

Burton, Bruce Kent is an individual health care provider with primary practice located at 2223 Grant St , Malvern AR 72104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burton, Bruce Kent can be contacted via phone (501) 337-9031.

Contact Information

Primary practice address
2223 Grant St Malvern AR 72104
Phone: (501) 337-9031
Fax: (501) 337-9033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C5379 Arkansas

Profile Details

NPI number 1952497240
LBN Legal business name Burton, Bruce Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Nov 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952497240 NPPES
Arkansas MEDICAID 102649001
Arkansas Other 1526930000
Arkansas Other 50816

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