Matthew Tyler Burrow, DC | |
15 S Broadway St, Louisburg, KS 66053-3613 | |
(913) 837-2910 | |
Not Available |
Full Name | Matthew Tyler Burrow |
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Gender | Male |
Speciality | Chiropractor |
Location | 15 S Broadway St, Louisburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093416786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 01-06244 (Kansas) | Primary |
Provider Name | Louisburg Chiropractic Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356978522 PECOS PAC ID: 6800227596 Enrollment ID: O20200513001515 |
Mailing Address | Practice Location Address |
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Matthew Tyler Burrow, DC Po Box 1127, Louisburg, KS 66053-1127 Ph: (913) 980-4678 | Matthew Tyler Burrow, DC 15 S Broadway St, Louisburg, KS 66053-3613 Ph: (913) 837-2910 |
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