Burlage, Thomas F
Burlage, Thomas F is an sole proprietor health care provider with primary practice located at 801 N Main St Suite I, Lodi WI 53555-1279. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Burlage, Thomas F can be contacted via phone (608) 592-1444.Contact Information
Primary practice address
801 N Main St Suite I
Lodi WI 53555-1279
Phone: (608) 592-1444
Fax: (608) 592-1445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3522 | Wisconsin |
Profile Details
| NPI number | 1013081470 |
|---|---|
| LBN Legal business name | Burlage, Thomas F |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Oct 3rd, 2014 - about 12 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 | 1013081470 | NPPES |
| Wisconsin | MEDICAID | 38930100 | |
| Wisconsin | Other | 3522 | |
| Wisconsin | Other | 392029630016 |
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