Jeremiah Luke Bursch in Sauk Rapids - Chiropractor

Jeremiah Luke Bursch - NPI 1184783458

Jeremiah Luke Bursch is a Chiropractor in Sauk Rapids, Minnesota. Jeremiah Luke Bursch practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeremiah Luke Bursch is 1184783458. The last update date is 2013-12-30.

Jeremiah Luke Bursch's current location address is 12 2nd Ave S, Sauk Rapids, Minnesota. You can contact this provider via phone number 3202576008 and fax number 3202576009. The mailing address for Jeremiah Luke Bursch is 12 2nd Ave S, Sauk Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremiah Luke Bursch
Address 12 2nd Ave S, Sauk Rapids, Minnesota
Phone Number 3202576008
Fax Number 3202576009
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1184783458
Provider Enumeration Date 2006-12-06
Last Updated Date 2013-12-30

Provider Mailing Address Detail

Address 12 2nd Ave S
City Sauk Rapids
State Minnesota (MN)
Post Code 563791408
Phone Number 3202576008
Fax Number 3202576009

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 4107
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
618536 MN CHIROCARE PROVIDER NUMBER
235764000 MN --
P00119927 MN RAILROAD MEDICARE PROVIDE
831S1BU MN BCBS PROVIDER NUMBER

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FAQs about Jeremiah Luke Bursch

What is the unique identifier code issued to Jeremiah Luke Bursch by the Centers for Medicare & Medicaid Services (CMS)?

The Jeremiah Luke Bursch has been assigned the NPI (National Provider Identifier) 1184783458. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Jeremiah Luke Bursch?

The Jeremiah Luke Bursch is situated at 12 2Nd Ave S, in the city of Sauk Rapids, state of MN, with the zip code 563791408.

What is Jeremiah Luke Bursch's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeremiah Luke Bursch's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

When did Jeremiah Luke Bursch receive its 1184783458 assignment?

The Jeremiah Luke Bursch was assigned its 1184783458 on 2006-12-06, which is the date when this unique identifier was issued to the organization.

When was the information regarding Jeremiah Luke Bursch most recently updated?

The details pertaining to the Jeremiah Luke Bursch, including its address, specialty, and other relevant information, were last refreshed on 2013-12-30.

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