Provider Demographics
NPI:1235276668
Name:BURPO, HAILEY NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:HAILEY
Middle Name:NICOLE
Last Name:BURPO
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 1:101 N ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64835-1313
Mailing Address - Country:US
Mailing Address - Phone:417-438-4372
Mailing Address - Fax:
Practice Address - Street 1:26 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEBB CITY
Practice Address - State:MO
Practice Address - Zip Code:64870-2379
Practice Address - Country:US
Practice Address - Phone:417-673-5555
Practice Address - Fax:417-673-5588
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007000311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor