Individual
DR. RANDAL BURKHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
809 N STATE ST, EPHRATA, PA 17522-2163
(717) 738-3474
(717) 738-8087
Mailing address
809 N STATE ST, EPHRATA, PA 17522-2163
(717) 738-3474
(717) 738-8087
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC8611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005195
ASHN
PA
01
—
BU1670931
HIGH MARK
PA
Enumeration date
08/11/2005
Last updated
09/12/2012
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