Healthcare Provider Details

I. General information

NPI: 1699736751
Provider Name (Legal Business Name): JANICE C BURNS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 11/14/2012
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:
Title or Position:
Credential:
Phone: