Provider Demographics
NPI:1306436688
Name:BURKS, DIONNE L
Entity type:Individual
Prefix:MS
First Name:DIONNE
Middle Name:L
Last Name:BURKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 E 117TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3845
Mailing Address - Country:US
Mailing Address - Phone:216-266-1768
Mailing Address - Fax:
Practice Address - Street 1:3323 E 117TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-3845
Practice Address - Country:US
Practice Address - Phone:216-266-1768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No347E00000XTransportation ServicesTransportation Broker
No347C00000XTransportation ServicesPrivate Vehicle