National Provider Identifier Database

BURDETTE FAMILY CHIROPRACTIC AND WELLNESS CENTER INC
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

BURDETTE FAMILY CHIROPRACTIC AND WELLNESS CENTER, INC.
307 CLEVELAND AVE.
FAIRMONT, WV26554
Phone: 304-363-4006
Fax: 304-363-4008
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BURDETTE FAMILY CHIROPRACTIC AND WELLNESS CENTER, INC.

NPI Number 1780734434
Legal business name
LBN
BURDETTE FAMILY CHIROPRACTIC AND WELLNESS CENTER, INC.
Authorized official LAWRENCE BURDETTE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/12/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 800
  • WV Medicaid: 38100001785
  • WV Other: 7028671 AETNA

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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