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Contact Information

REBECCA BURGESS
4471 BANNER MOUNTAIN RD
SHIRLEY, AR72153-8428
 Phone: 501-253-0043
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for REBECCA BURGESS · (Female)

NPI Number 1780315549
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2022
Last updated 07/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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