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Contact Information

MICHAEL S BURGOON DC PC
2302 COLONIAL AVE SW
SUITE A
ROANOKE, VA24015
 Phone: 540-343-6636
 Fax: 540-343-6670
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MICHAEL S BURGOON DC PC · (Female)

NPI # 1770668550
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2006
Last updated 07/28/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0104001967
  • Other P00008229 PALMETTO MEDICARE
  • VA Other 292833 ANTHEM
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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