Provider Demographics
NPI:1164570800
Name:BURCHIK, JOSEPH JR (DPL AC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:BURCHIK
Suffix:JR
Gender:M
Credentials:DPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 DUSTIN LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53718-4302
Mailing Address - Country:US
Mailing Address - Phone:608-838-0094
Mailing Address - Fax:608-838-0094
Practice Address - Street 1:6033 MONONA DR
Practice Address - Street 2:201
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-3965
Practice Address - Country:US
Practice Address - Phone:608-204-9715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI287055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist