MEDICARE: BURLEY-STROKER CHIROPRACTIC, INC

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	1592	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	2349453	OTHER	NC	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08226	OTHER	NC	BCBS
3	FH700165	OTHER	NC	FIRST CAROLINA CARE
4	641206	OTHER	NC	CIGNA/UNITED HEALTHCARE
5	08819	OTHER	NC	CNC

General Provider Information

NPI Number	:	1821198235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURLEY-STROKER CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	240 MAGNOLIA SQUARE CT
Second Line	:
City	:	ABERDEEN
State	:	NC
Zip	:	28315-2226
Country	:	US
Telephone Number	:	910-944-1481
Fax Number	:	910-944-1481

Provider Business Practice Location Address
First Line	:	240 MAGNOLIA SQUARE CT
Second Line	:
City	:	ABERDEEN
State	:	NC
Zip	:	28315-2226
Country	:	US
Telephone Number	:	910-944-1481
Fax Number	:	910-944-1481

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. SCOTT GILBERT STROKER
Credential	:	D.C.
Telephone Number	:	910-944-1481

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	06/10/2009

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