Provider Demographics
NPI:1730306036
Name:ANDREW C BURNS D.C. P.C
Entity Type:Organization
Organization Name:ANDREW C BURNS D.C. P.C
Other - Org Name:BODY BALANCE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:CD
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:DC,PC
Authorized Official - Phone:636-717-0600
Mailing Address - Street 1:910 BROOKWOOD CTR
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-3474
Mailing Address - Country:US
Mailing Address - Phone:636-717-0600
Mailing Address - Fax:636-717-0611
Practice Address - Street 1:910 BROOKWOOD CTR
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-3474
Practice Address - Country:US
Practice Address - Phone:636-717-0600
Practice Address - Fax:636-717-0611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000146682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty