<Unavail>
LBN: Michael S Burgoon Dc Pc
<Unavail> is an health care organization with primary practice located at 2302 Colonial Ave Sw Suite A, Roanoke VA 24015. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Michael S Burgoon Dc Pc can be contacted via phone (540) 343-6636, or through Burgoon, Michael S 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:
Authorized official contact:
Name: Burgoon, Michael S Doctor of Chiropractic (DC)
Phone: (540) 343-6636
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0104001967 | Virginia |
Profile Details
| NPI number | 1770668550 |
|---|---|
| LBN Legal business name | Michael S Burgoon Dc Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | Burgoon, Michael S Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 28th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770668550 | NPPES |
| Virginia | Other | 292833 | ANTHEM |
| Virginia | Other | P00008229 | ANTHEM |
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