Provider Demographics
NPI:1891880472
Name:BURGER, SUSAN G (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:G
Last Name:BURGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W. TRENTON AVE.
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067
Mailing Address - Country:US
Mailing Address - Phone:215-736-3803
Mailing Address - Fax:215-736-1204
Practice Address - Street 1:878 W BRIDGE ST
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-2327
Practice Address - Country:US
Practice Address - Phone:215-736-3803
Practice Address - Fax:215-736-1204
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003206L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA592915OtherHIGHMARK
PA592915OtherINDEPENDENCE BLUE CROSS
PA592915OtherHIGHMARK