Provider Demographics
NPI:1053343244
Name:BURGMAN, DANIEL R (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:R
Last Name:BURGMAN
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 1:4050 WASHINGTON RD
Mailing Address - Street 2:SUITE 5C
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2543
Mailing Address - Country:US
Mailing Address - Phone:724-941-1366
Mailing Address - Fax:724-941-8090
Practice Address - Street 1:4050 WASHINGTON RD
Practice Address - Street 2:SUITE 5C
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2543
Practice Address - Country:US
Practice Address - Phone:724-941-1366
Practice Address - Fax:724-941-8090
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002610L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
206688OtherUPMC
13028701OtherCIGNA
439861OtherHIGHMARK
13028701OtherCIGNA
206688OtherUPMC