Bursch, Jeremiah Luke

Bursch, Jeremiah Luke is an individual health care provider with primary practice located at 12 2Nd Ave S , Sauk Rapids MN 56379-1408. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bursch, Jeremiah Luke can be contacted via phone (320) 257-6008.

Contact Information

Primary practice address
12 2Nd Ave S Sauk Rapids MN 56379-1408
Phone: (320) 257-6008
Fax: (320) 257-6009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4107 Minnesota

Profile Details

NPI number 1184783458
LBN Legal business name Bursch, Jeremiah Luke
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 30th, 2013 - about 13 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 1184783458 NPPES
Minnesota Other 618536 CHIROCARE PROVIDER NUMBER
Minnesota MEDICAID 235764000 CHIROCARE PROVIDER NUMBER
Minnesota Other P00119927 CHIROCARE PROVIDER NUMBER
Minnesota Other 831S1BU CHIROCARE PROVIDER NUMBER

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