MEDICARE: DR. DEANA ANTOINETTE BURRINGTON 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	2301009616	MI
2	111N00000X	Chiropractor	4346	OH

General Provider Information

NPI Number	:	1497081996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEANA ANTOINETTE BURRINGTON D.C.

Provider Business Mailing Address
First Line	:	2477 SHORELAND AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43611-1567
Country	:	US
Telephone Number	:	419-729-1619
Fax Number	:	419-729-1675

Provider Business Practice Location Address
First Line	:	2477 SHORELAND AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43611-1567
Country	:	US
Telephone Number	:	419-729-1619
Fax Number	:	419-729-1675

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

Provider Enumeration Date	:	10/19/2009
Last Update Date	:	08/02/2019

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