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Contact Information

THOMAS F BURLAGE, DC
801 N MAIN ST
SUITE I
LODI, WI53555-1279
 Phone: 608-592-1444
 Fax: 608-592-1445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for THOMAS F BURLAGE · (Male)

NPI # 1013081470
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/20/2006
Last updated 10/03/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 3522
  • WI Medicaid 38930100
  • WI Other 392029630016 BCBS
  • WI Other 3522 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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