Burt, Chad William

Burt, Chad William is an individual health care provider with primary practice located at 790 N Main St , Walcott IA 52773-9505. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Burt, Chad William can be contacted via phone (563) 284-6927.

Contact Information

Primary practice address
790 N Main St Walcott IA 52773-9505
Phone: (563) 284-6927
Fax: (563) 284-6398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 06404 Iowa

Profile Details

NPI number 1083687545
LBN Legal business name Burt, Chad William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1083687545 NPPES
Iowa MEDICAID 0122689

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