Provider Demographics
NPI:1720131386
Name:BURKE, TAURET P (DC)
Entity Type:Individual
Prefix:DR
First Name:TAURET
Middle Name:P
Last Name:BURKE
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 1:12815 US HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:SARDIS CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35956-2046
Mailing Address - Country:US
Mailing Address - Phone:256-593-3551
Mailing Address - Fax:256-593-4603
Practice Address - Street 1:12815 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:SARDIS CITY
Practice Address - State:AL
Practice Address - Zip Code:35956-2046
Practice Address - Country:US
Practice Address - Phone:256-593-3551
Practice Address - Fax:256-593-4603
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU76540Medicare UPIN
AL000020450Medicare UPIN