Organization
BURTIS CHIROPRACTIC CENTER PA
Active
Other names
Burtis Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT P BURTIS DC (PRESIDENT OF CORP, CLINIC DIRECTOR)
(507) 235-5551
Entity
Organization
Contact information
Practice address
112 N STATE ST, FAIRMONT, MN 56031-4058
(507) 235-5557
(507) 238-4429
Mailing address
112 N STATE ST, FAIRMONT, MN 56031-4058
(507) 235-5557
(507) 238-4429
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2488
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3D578BU
BLUE CROSS BLUE SHIELD
MN
05
—
551328600
—
MN
01
—
59662FA
INSURANCE ID #
MN
Enumeration date
07/21/2005
Last updated
10/07/2015
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