Provider Demographics
NPI:1407045214
Name:BURKI CHIROPRACTIC CENTER, INC., PS
Entity Type:Organization
Organization Name:BURKI CHIROPRACTIC CENTER, INC., PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:BURKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-851-5900
Mailing Address - Street 1:4423 POINT FOSDICK DR NW
Mailing Address - Street 2:SUITE 310
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1797
Mailing Address - Country:US
Mailing Address - Phone:253-851-5900
Mailing Address - Fax:253-851-5910
Practice Address - Street 1:4423 POINT FOSDICK DR NW
Practice Address - Street 2:SUITE 310
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1797
Practice Address - Country:US
Practice Address - Phone:253-851-5900
Practice Address - Fax:253-851-5910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033768111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0156268OtherLABOR & INDUSTRIES
WA0156268OtherLABOR & INDUSTRIES