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NPI Code Detail

MEDICARE: CHANTEL K. BURNS MD

MEDICARE: CHANTEL K. BURNS MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine Physician205751LA

General Provider Information

NPI Number : 1831426477
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTEL K. BURNS MD
Provider Business Mailing Address
First Line : 8762 HIGHWAY 182
Second Line : SOUTHWEST LOUISIANA PRIMARY HEALTHCARE CENTER
City : OPELOUSAS
State : LA
Zip : 70570-5603
Country : US
Telephone Number : 337-942-2005
Fax Number :
Provider Business Practice Location Address
First Line : 8762 HIGHWAY 182
Second Line : SOUTHWEST LOUISIANA PRIMARY HEALTHCARE CENTER
City : OPELOUSAS
State : LA
Zip : 70570-5603
Country : US
Telephone Number : 337-942-2005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2009
Last Update Date : 01/20/2017

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