Organization
BURKE FAMILY CHIROPRACTIC INTEGRATIVE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY LYNN BURKE D.C. (PRESIDENT)
(208) 542-6564
Entity
Organization
Contact information
Practice address
1348 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-6564
(208) 542-6571
Mailing address
1348 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-6564
(208) 542-6571
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CHIA-792
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805243000
—
ID
Enumeration date
08/03/2005
Last updated
10/29/2012
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