Healthcare Provider Details

I. General information

NPI: 1649321589
Provider Name (Legal Business Name): JANICE C BURNS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 COTUIT RD
SANDWICH MA
02563-2428
US

IV. Provider business mailing address

331 COTUIT RD
SANDWICH MA
02563-2428
US

V. Phone/Fax

Practice location:
  • Phone: 508-833-0410
  • Fax: 508-888-4007
Mailing address:
  • Phone: 508-833-0410
  • Fax: 508-888-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1346
License Number StateMA

VIII. Authorized Official

Name: DR. JANICE C BURNS
Title or Position: OWNER
Credential: D.C.
Phone: 508-833-0410