National Provider Identifier Database

MICHAEL S BURGOON DC PC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL S BURGOON DC PC

NPI Number 1770668550
Legal business name
LBN
MICHAEL S BURGOON DC PC
Authorized official MICHAEL BURGOON - (PRESIDENT CEO OF CORPORATION)
Entity Organization
Organization subpart No
Enumeration date 10/27/2006
Last updated 07/28/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0104001967
  • Other: P00008229 PALMETTO MEDICARE
  • VA Other: 292833 ANTHEM

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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