| Burger Chiropractic L.l.c | |
|
989 Langworthy St Ste 202 Dubuque IA 52001-7368 | |
| (563) 582-1188 | |
| (563) 582-1181 |
| Full Name | Burger Chiropractic L.l.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 989 Langworthy St Ste 202, Dubuque, Iowa |
| Authorized Official Name and Position | Randy Francis Burger (OWNER) |
| Authorized Official Contact | 5635821188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burger Chiropractic L.l.c 989 Langworthy St Ste 202 Dubuque IA 52001-7368 Ph: (563) 582-1188 | Burger Chiropractic L.l.c 989 Langworthy St Ste 202 Dubuque IA 52001-7368 Ph: (563) 582-1188 |
| NPI Number | 1144417254 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 05/30/2008 |
| Medicare PECOS PAC ID | 4284720863 |
|---|---|
| Medicare Enrollment ID | O20071011000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144417254 | NPI | - | NPPES |
| 1144417254 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 06976 (Iowa) | Primary |
| Provider Name | Randy F Burger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912108416 PECOS PAC ID: 8426143769 Enrollment ID: I20071011000643 |
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