Provider Demographics
NPI:1841220118
Name:BURATTI, ALLAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:A
Last Name:BURATTI
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 1:1882 WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-8836
Mailing Address - Country:US
Mailing Address - Phone:717-261-0822
Mailing Address - Fax:717-263-5057
Practice Address - Street 1:1882 WAYNE RD
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-8836
Practice Address - Country:US
Practice Address - Phone:717-261-0822
Practice Address - Fax:717-263-5057
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-004644-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM019OtherBC/BS OF MD
PABU489817Medicare ID - Type Unspecified
MDM019OtherBC/BS OF MD