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KATIE J BURMEISTER NPI 1184898512


NPI Information

NPI: 1184898512
Provider Name: KATIE J BURMEISTER

Doing Business As: BACK TO ACTION CHIROPRACTIC CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
809 N MAIN ST
FLORA, IL
ZIP 62839
Phone: (618) 662-4828
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KATIE J BURMEISTER is a clinic center in Flora, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KATIE J BURMEISTER NPI is 1184898512. The provider is registered as an organization entity type.
The provider Is Doing Business As Back To Action Chiropractic Center.

The provider's business location address is:

809 N MAIN ST
FLORA, IL
ZIP 62839-033
Phone: (618) 662-4828
Fax: (618) 662-4830

The provider's authorized official is Katie Jeannine Burmeister .
The authorized official title is Owner and has the following contact phone number (618) 662-4828.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U84913MEDICARE UPINILLINOIS
201332001OTHERILLINOISBLUECROSS BLUESHIELD
3=========OTHERILLINOISEIN
4203843MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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