Burnham, Ashley L
Burnham, Ashley L is an individual health care provider with primary practice located at 3301 W Main Pl , Russellville AR 72801-2334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Burnham, Ashley L can be contacted via phone (479) 968-7930.Contact Information
Primary practice address
3301 W Main Pl
Russellville AR 72801-2334
Phone: (479) 968-7930
Fax: (479) 968-1673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | E1520 | Arkansas |
Profile Details
| NPI number | 1184667909 |
|---|---|
| LBN Legal business name | Burnham, Ashley L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jan 11th, 2019 - about 6 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 | 1184667909 | NPPES |
| Arkansas | MEDICAID | 142806001 | |
| Arkansas | Other | 5L804 |
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