Burks, Nicole Alyson

Burks, Nicole Alyson is an individual health care provider with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1398. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Burks, Nicole Alyson can be contacted via phone (304) 766-3600.

Contact Information

Primary practice address
4605 Maccorkle Ave Sw South Charleston WV 25309-1398
Phone: (304) 766-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972200749
LBN Legal business name Burks, Nicole Alyson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2023
Last updated Feb 13th, 2023 - about 3 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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