Provider Demographics
NPI:1497081996
Name:BURRINGTON, DEANA ANTOINETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:DEANA
Middle Name:ANTOINETTE
Last Name:BURRINGTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DEANA
Other - Middle Name:ANTOINETTE
Other - Last Name:LAJINESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2477 SHORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43611-1567
Mailing Address - Country:US
Mailing Address - Phone:419-729-1619
Mailing Address - Fax:419-729-1675
Practice Address - Street 1:2477 SHORELAND AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43611-1567
Practice Address - Country:US
Practice Address - Phone:419-729-1619
Practice Address - Fax:419-729-1675
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009616111N00000X
OH4346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty