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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

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

NPI # 1780734434
LBN Legal business name BURDETTE FAMILY CHIROPRACTIC AND WELLNESS CENTER, INC.
Authorized official LAWRENCE BURDETTE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # 800
WV Medicaid 38100001785
WV Other 7028671 AETNA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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