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NPI Code Detail

MEDICARE: BURTIS CHIROPRACTIC CENTER PA

MEDICARE: BURTIS CHIROPRACTIC CENTER PA
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
1111N00000XChiropractor2488MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
159662FAOTHERMNINSURANCE ID #
23D578BUOTHERMNBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457350332
Entity Type Code : Organization
Provider Name (Legal Business Name) : BURTIS CHIROPRACTIC CENTER PA
Provider Business Mailing Address
First Line : 112 N STATE ST
Second Line :
City : FAIRMONT
State : MN
Zip : 56031-4058
Country : US
Telephone Number : 507-235-5557
Fax Number : 507-238-4429
Provider Business Practice Location Address
First Line : 112 N STATE ST
Second Line :
City : FAIRMONT
State : MN
Zip : 56031-4058
Country : US
Telephone Number : 507-235-5557
Fax Number : 507-238-4429
Authorized Official
Title or Position : PRESIDENT OF CORP, CLINIC DIRECTOR
Name : DR. SCOTT P BURTIS
Credential : DC
Telephone Number : 507-235-5551
Provider Enumeration Date : 07/21/2005
Last Update Date : 10/07/2015

Similar Medicare Providers

1467504407 — DR. SCOTT P BURTIS D.C.
Practice Location Address:
112 N STATE ST
FAIRMONT, MN
56031-4058
Practice Phone: 507-235-5551
Practice Fax: 507-238-4429
1073516266 — JOSEPH MICHAEL KLICK CRNA
Practice Location Address:
717 S STATE ST , STE 100
FAIRMONT, MN
56031-4470
Practice Phone: 507-235-3939
Practice Fax:
1831191147 — LAKEVIEW METHODIST HEALTH CARE CENTER
Practice Location Address:
610 SUMMIT DR
FAIRMONT, MN
56031-2247
Practice Phone: 507-235-6606
Practice Fax: 507-235-6767
1285630632 — DR. JAVEN DELANO HOLM OD
Practice Location Address:
1210 E BLUE EARTH AVE
FAIRMONT, MN
56031-4252
Practice Phone: 507-238-3363
Practice Fax: 507-235-3380
1205833746 — DR. JOHN DANIEL HOLSTINE MD
Practice Location Address:
800 MEDICAL CENTER DR
FAIRMONT, MN
56031-4575
Practice Phone: 507-235-6036
Practice Fax: 507-235-8882
1033117650 — DR. JOSEPH ELLSWORTH SWITRAS PH. D. LICENSED PSYC
Practice Location Address:
208 W 2ND ST , SUITE 116
FAIRMONT, MN
56031-1843
Practice Phone: 507-235-5651
Practice Fax: 507-235-5651

Directions to “BURTIS CHIROPRACTIC CENTER PA ” Practice Location

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