Provider Demographics
NPI:1558330092
Name:BURNS, STEVEN E (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:BURNS
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 1:110 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SAC CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50583-2230
Mailing Address - Country:US
Mailing Address - Phone:712-662-4408
Mailing Address - Fax:712-662-4467
Practice Address - Street 1:110 S 6TH ST
Practice Address - Street 2:
Practice Address - City:SAC CITY
Practice Address - State:IA
Practice Address - Zip Code:50583-2230
Practice Address - Country:US
Practice Address - Phone:712-662-4408
Practice Address - Fax:712-662-4467
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04695111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0172684Medicaid
IA17268Medicare UPIN
IA17268Medicare ID - Type Unspecified