Organization
PARKSIDE CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D BURNS DC (DOCTOR OF CHIROPRACTIC/PRESIDENT)
(605) 343-2800
Entity
Organization
Contact information
Practice address
505 KANSAS CITY ST, SUITE 1, RAPID CITY, SD 57701-3673
(605) 343-2800
(605) 388-8082
Mailing address
505 KANSAS CITY ST, SUITE 1, RAPID CITY, SD 57701-3673
(605) 343-2800
(605) 388-8082
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
779
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350051174
RAILROAD MEDICARE
SD
05
—
7600525
—
SD
Enumeration date
02/15/2008
Last updated
02/19/2016
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