Burgoon, Michael

Burgoon, Michael is an individual health care provider with primary practice located at 2302 Colonial Ave Sw Suite A, Roanoke VA 24015. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Burgoon, Michael can be contacted via phone (540) 343-6636.

Contact Information

Primary practice address
2302 Colonial Ave Sw Suite A Roanoke VA 24015
Phone: (540) 343-6636
Fax: (540) 343-6670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104001967 Virginia

Profile Details

NPI number 1043395825
LBN Legal business name Burgoon, Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 27th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043395825 NPPES
Other P06008229 PALMETTO MEDICARE
Other 292833 PALMETTO MEDICARE

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