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NPI Code Detail

MEDICARE: DR. JEAN M. BURLE D.C.

MEDICARE:  DR. JEAN M. BURLE  D.C.
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
1111NN1001XNutrition Chiropractor006442MO

General Provider Information

NPI Number : 1972598175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEAN M. BURLE D.C.
Provider Business Mailing Address
First Line : 307 E MAIN ST
Second Line :
City : WARRENTON
State : MO
Zip : 63383-2007
Country : US
Telephone Number : 636-456-4091
Fax Number :
Provider Business Practice Location Address
First Line : 307 E MAIN ST
Second Line :
City : WARRENTON
State : MO
Zip : 63383-2007
Country : US
Telephone Number : 636-456-4091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JEAN M. BURLE D.C.” Practice Location

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