MEDICARE: DR. CHARLES PATRICK BURKHART 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	DC007860L	PA

General Provider Information

NPI Number	:	1528579323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES PATRICK BURKHART DC

Provider Business Mailing Address
First Line	:	1339 ALLEGHENYVILLE RD
Second Line	:
City	:	MOHNTON
State	:	PA
Zip	:	19540-7700
Country	:	US
Telephone Number	:	610-796-1678
Fax Number	:

Provider Business Practice Location Address
First Line	:	4607 DIVISION HWY
Second Line	:
City	:	EAST EARL
State	:	PA
Zip	:	17519-9245
Country	:	US
Telephone Number	:	717-354-2332
Fax Number	:	717-355-5253

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

Provider Enumeration Date	:	10/19/2017
Last Update Date	:	10/19/2017

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Directions to “ DR. CHARLES PATRICK BURKHART DC” Practice Location

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