MEDICARE: DR. ANDREW BURNS D.C.

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	4505	OH

General Provider Information

NPI Number	:	1346639044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW BURNS D.C.

Provider Business Mailing Address
First Line	:	1145 CHANNINGWAY DR
Second Line	:
City	:	FAIRBORN
State	:	OH
Zip	:	45324-9244
Country	:	US
Telephone Number	:	937-878-1071
Fax Number	:	937-878-2616

Provider Business Practice Location Address
First Line	:	1145 CHANNINGWAY DR
Second Line	:
City	:	FAIRBORN
State	:	OH
Zip	:	45324-9244
Country	:	US
Telephone Number	:	937-878-1071
Fax Number	:	937-878-2616

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

Provider Enumeration Date	:	01/19/2015
Last Update Date	:	01/19/2015

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Directions to “ DR. ANDREW BURNS D.C.” Practice Location

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