Edward M Burdock in Washington - Sports Physician
Edward M Burdock - NPI 1417086760
Edward M Burdock is a Sports Physician in Washington, Iowa. Edward M Burdock practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Edward M Burdock is 1417086760. The last update date is 2009-03-26.
Edward M Burdock's current location address is 208 S Marion Ave, Washington, Iowa. You can contact this provider via phone number 3196533573 and fax number 3196533573. The mailing address for Edward M Burdock is 208 S Marion Ave, Washington, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward M Burdock |
|---|---|
| Address | 208 S Marion Ave, Washington, Iowa |
| Phone Number | 3196533573 |
| Fax Number | 3196533573 |
| Sole Proprietor | Y |
| Credentials | DC CCSP |
NPI Number Detail
| NPI Number | 1417086760 |
|---|---|
| Provider Enumeration Date | 2007-03-04 |
| Last Updated Date | 2009-03-26 |
Provider Mailing Address Detail
| Address | 208 S Marion Ave |
|---|---|
| City | Washington |
| State | Iowa (IA) |
| Post Code | 523531744 |
| Phone Number | 3196533573 |
| Fax Number | 3196533573 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | A06120 |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45770 | IA | WELLMARK BLUE CROSS BLUE | |
| 179408 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edward M Burdock by the Centers for Medicare & Medicaid Services?
The Edward M Burdock has been assigned the NPI (National Provider Identifier) 1417086760. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Edward M Burdock is physically located?
The Edward M Burdock is situated at the following address: 208 S Marion Ave, Washington, IA 523531744.
What is Edward M Burdock's area of expertise and its corresponding taxonomy classification?
The Edward M Burdock's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
When did the Edward M Burdock receive its 1417086760?
The Edward M Burdock was issued its 1417086760 on 2007-03-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Edward M Burdock most recently updated or revised?
The information pertaining to Edward M Burdock, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-26.
NPI Number: 1518960319
Address: 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL
NPI Number: 1437152154
Address: One Reads Way, New Castle, DE
NPI Number: 1841293438
Address: One Reads Way, New Castle, DE
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA