Burkholder, Randal

Burkholder, Randal is an individual health care provider with primary practice located at 809 N State St , Ephrata PA 17522-2163. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Burkholder, Randal can be contacted via phone (717) 738-3474.

Contact Information

Primary practice address
809 N State St Ephrata PA 17522-2163
Fax: (717) 738-8087
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC8611 Pennsylvania

Profile Details

NPI number 1295737039
LBN Legal business name Burkholder, Randal
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295737039 NPPES
Pennsylvania Other 1005195 ASHN
Pennsylvania Other BU1670931 ASHN

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