MEDICARE: CAREY L. BURGER L.AC., MSAOM, BSTCM

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	171100000X	Acupuncturist	2022009571	MO

General Provider Information

NPI Number	:	1396382115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAREY L. BURGER L.AC., MSAOM, BSTCM

Provider Business Mailing Address
First Line	:	5875 NOTTINGHAM AVE APT 2W
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-2793
Country	:	US
Telephone Number	:	314-337-2248
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 S BIG BEND BLVD
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-1605
Country	:	US
Telephone Number	:	314-337-2248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2019
Last Update Date	:	07/18/2023

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