Provider Demographics
NPI:1942228796
Name:BURGMAN CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:BURGMAN CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-941-1366
Mailing Address - Street 1:4050 WASHINGTON RD
Mailing Address - Street 2:SUITE 5C
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317
Mailing Address - Country:US
Mailing Address - Phone:724-941-1366
Mailing Address - Fax:724-941-8090
Practice Address - Street 1:4050 WASHINGTON RD
Practice Address - Street 2:SUITE 5C
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317
Practice Address - Country:US
Practice Address - Phone:724-941-1366
Practice Address - Fax:724-941-8090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002610L111N00000X
PADC006792L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T30445Medicare UPIN
439861Medicare ID - Type Unspecified