Healthcare Provider Details

I. General information

NPI: 1427027564
Provider Name (Legal Business Name): ROBERT A BURGER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 LAKE MONTICELLO RD UNIT A
PALMYRA VA
22963-4236
US

IV. Provider business mailing address

19 BURNS PLZ SUITE #2
PALMYRA VA
22963-3170
US

V. Phone/Fax

Practice location:
  • Phone: 434-589-5433
  • Fax: 434-591-0010
Mailing address:
  • Phone: 434-589-5433
  • Fax: 434-591-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556160
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: