Individual
DR. CHAD WILLIAM BURT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
790 N MAIN ST, WALCOTT, IA 52773-9505
(563) 284-6927
(563) 284-6398
Mailing address
PO BOX 790, WALCOTT, IA 52773-0790
(563) 284-6927
(563) 284-6398
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
06404
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122689
—
IA
Enumeration date
02/07/2006
Last updated
07/08/2007
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