Carol Jean Burks in Green Bay - Professional
Carol Jean Burks - NPI 1316070022
Carol Jean Burks is a Professional in Green Bay, Wisconsin. Carol Jean Burks practices all healthcare services and medical treatments related to Professional. The NPI Number for Carol Jean Burks is 1316070022. The last update date is 2007-07-08.
Carol Jean Burks's current location address is 2301 Riverside Dr, Green Bay, Wisconsin. You can contact this provider via phone number 9204309100 and fax number 9204309101. The mailing address for Carol Jean Burks is 2301 Riverside Dr, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Jean Burks |
|---|---|
| Address | 2301 Riverside Dr, Green Bay, Wisconsin |
| Phone Number | 9204309100 |
| Fax Number | 9204309101 |
| Sole Proprietor | Y |
| Credentials | MS, LPC |
NPI Number Detail
| NPI Number | 1316070022 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2301 Riverside Dr |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543011907 |
| Phone Number | 9204309100 |
| Fax Number | 9204309101 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2997-125 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43583600 | WI | -- |
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What is the unique 10-digit identification code issued to Carol Jean Burks by the Centers for Medicare & Medicaid Services?
The Carol Jean Burks has been assigned the NPI (National Provider Identifier) 1316070022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Carol Jean Burks?
The Carol Jean Burks is situated at 2301 Riverside Dr, in the city of Green Bay, state of WI, with the zip code 543011907.
What is Carol Jean Burks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carol Jean Burks's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
When did the Carol Jean Burks receive its 1316070022?
The Carol Jean Burks was issued its 1316070022 on 2007-03-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Carol Jean Burks last refreshed?
The information related to the Carol Jean Burks, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1316940851
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