Healthcare Provider Details

I. General information

NPI: 1821198235
Provider Name (Legal Business Name): BURLEY-STROKER CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 06/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 MAGNOLIA SQUARE CT
ABERDEEN NC
28315-2226
US

IV. Provider business mailing address

240 MAGNOLIA SQUARE CT
ABERDEEN NC
28315-2226
US

V. Phone/Fax

Practice location:
  • Phone: 910-944-1481
  • Fax: 910-944-1481
Mailing address:
  • Phone: 910-944-1481
  • Fax: 910-944-1481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1592
License Number StateNC

VIII. Authorized Official

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