Douglas S Burson is a Chiropractor in Mequon, Wisconsin. Douglas S Burson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Douglas S Burson is 1215922141. The last update date is 2007-07-08.
Douglas S Burson's current location address is 11649 N Port Washington Rd, Mequon, Wisconsin. You can contact this provider via phone number 2622402273 and fax number 2622402260. The mailing address for Douglas S Burson is 11649 N Port Washington Rd, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas S Burson |
|---|---|
| Address | 11649 N Port Washington Rd, Mequon, Wisconsin |
| Phone Number | 2622402273 |
| Fax Number | 2622402260 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1215922141 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11649 N Port Washington Rd |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 530923460 |
| Phone Number | 2622402273 |
| Fax Number | 2622402260 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3617012 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38933100 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas S Burson by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas S Burson has been assigned the NPI (National Provider Identifier) 1215922141. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Douglas S Burson's physical address?
The Douglas S Burson is physically located at 11649 N Port Washington Rd, in the city of Mequon, WI, with the postal code 530923460.
What is Douglas S Burson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas S Burson is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215922141 to Douglas S Burson?
The Centers for Medicare & Medicaid Services originally issued the 1215922141 to Douglas S Burson on 2005-09-16.
When was the Douglas S Burson's information last updated?
The Douglas S Burson's information was last updated on 2007-07-08.