Provider Demographics
NPI:1295138501
Name:BURR, RONALD VINCENT JR (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:VINCENT
Last Name:BURR
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RJ
Other - Middle Name:
Other - Last Name:BURR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 6219
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-0219
Mailing Address - Country:US
Mailing Address - Phone:734-335-0212
Mailing Address - Fax:734-335-0212
Practice Address - Street 1:915 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2048
Practice Address - Country:US
Practice Address - Phone:734-335-0212
Practice Address - Fax:734-335-0212
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-30
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010208111NS0005X, 111NR0400X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner