MEDICARE: CHRISTOPHER BURNELL

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	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1811745482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER BURNELL

Provider Business Mailing Address
First Line	:	5750 JOHNSTON ST STE 502
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-5334
Country	:	US
Telephone Number	:	337-704-2228
Fax Number	:

Provider Business Practice Location Address
First Line	:	4451 BLUEBONNET BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-9646
Country	:	US
Telephone Number	:	225-752-5321
Fax Number	:

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

Provider Enumeration Date	:	05/09/2024
Last Update Date	:	05/09/2024

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Directions to “ CHRISTOPHER BURNELL ” Practice Location

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