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NPI Code Detail

MEDICARE: JUSTIN BURKHALTER

MEDICARE: JUSTIN BURKHALTER
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
1372500000XChore ProviderNE

General Provider Information

NPI Number : 1639033392
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN BURKHALTER
Provider Business Mailing Address
First Line : 806 HOGAN DR
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2121
Country : US
Telephone Number : 402-934-3441
Fax Number : 531-484-2788
Provider Business Practice Location Address
First Line : 806 HOGAN DR
Second Line :
City : PAPILLION
State : NE
Zip : 68046-2121
Country : US
Telephone Number : 402-934-3441
Fax Number : 531-484-2788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ JUSTIN BURKHALTER ” Practice Location

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