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Contact Information

EDWARD M BURDOCK, DC CCSP
208 S MARION AVE
WASHINGTON, IA52353-1744
 Phone: 319-653-3573
 Fax: 319-653-3573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for EDWARD M BURDOCK · (Male)

NPI # 1417086760
Status Active
Credentials DC CCSP
Entity Individual
Enumeration date 03/04/2007
Last updated 03/26/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # A06120
  • IA Medicaid 0179408
  • IA Other 45770 WELLMARK BLUE CROSS BLUE
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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