MEDICARE: KAREN M BUERGER TALACKA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC003568L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	440061	OTHER	PA	1ST PRIORITY HEALTH
2	1031192	OTHER	PA	ASHN

General Provider Information

NPI Number	:	1235281775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN M BUERGER TALACKA DC

Provider Business Mailing Address
First Line	:	PO BOX 117
Second Line	:
City	:	SWEET VALLEY
State	:	PA
Zip	:	18656
Country	:	US
Telephone Number	:	570-477-2158
Fax Number	:	570-477-2433

Provider Business Practice Location Address
First Line	:	5317 MAIN ROAD
Second Line	:
City	:	SWEET VALLEY
State	:	PA
Zip	:	18656
Country	:	US
Telephone Number	:	570-477-2158
Fax Number	:	570-477-2433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

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