Provider Demographics
NPI:1427027564
Name:BURGER, ROBERT A (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:BURGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BURNS PLZ
Mailing Address - Street 2:SUITE #2
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-3170
Mailing Address - Country:US
Mailing Address - Phone:434-589-5433
Mailing Address - Fax:434-591-0010
Practice Address - Street 1:727 LAKE MONTICELLO RD
Practice Address - Street 2:UNIT A
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-4236
Practice Address - Country:US
Practice Address - Phone:434-589-5433
Practice Address - Fax:434-591-0010
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556160111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
465522OtherBC/BS
465522OtherBC/BS