Provider Demographics
NPI:1740292192
Name:BURKE, JULIE ANN (DC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
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 1:383 ELLIOT ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:NEWTON UPPER FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1126
Mailing Address - Country:US
Mailing Address - Phone:617-964-3332
Mailing Address - Fax:617-332-7601
Practice Address - Street 1:383 ELLIOT ST
Practice Address - Street 2:SUITE 250
Practice Address - City:NEWTON UPPER FALLS
Practice Address - State:MA
Practice Address - Zip Code:02464-1126
Practice Address - Country:US
Practice Address - Phone:617-964-3332
Practice Address - Fax:617-332-7601
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36110OtherBLUECROSS BLUESHIELD
MAY36110OtherBLUECROSS BLUESHIELD
MAU18339Medicare UPIN