Burkholder, Dean Ralph
Burkholder, Dean Ralph is an sole proprietor health care provider with primary practice located at 9318 Molly Pitcher Hwy , Shippensburg PA 17257-9205. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Burkholder, Dean Ralph can be contacted via phone (717) 532-8873.Contact Information
Primary practice address
9318 Molly Pitcher Hwy
Shippensburg PA 17257-9205
Phone: (717) 532-8873
Fax: (717) 532-3845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC001937L | Pennsylvania |
| Chiropractic Providers / Sports Physician | 111NS0005X | DC001937L, CERT #73 | Pennsylvania |
Profile Details
| NPI number | 1396744462 |
|---|---|
| LBN Legal business name | Burkholder, Dean Ralph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Mar 19th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396744462 | NPPES |
| Other | 287165 | MAMSI | |
| MEDICAID | 0006213800003 | MAMSI | |
| Other | 555345 | MAMSI |
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