Provider Demographics
NPI:1043240088
Name:BURMEISTER, KARIN GWENDOLYN (DC)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:GWENDOLYN
Last Name:BURMEISTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 E HWY 54 SUITE 1C
Mailing Address - Street 2:
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020
Mailing Address - Country:US
Mailing Address - Phone:573-346-3050
Mailing Address - Fax:573-346-8446
Practice Address - Street 1:139 E US HIGHWAY 54 STE 1C
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-7320
Practice Address - Country:US
Practice Address - Phone:573-348-3050
Practice Address - Fax:573-346-8446
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002024753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1043240088OtherINDIVIDUAL NPI
MO257394408OtherMEDICARE INDIVIDUAL ID
MO257394408OtherMEDICARE INDIVIDUAL ID