DEAN RALPH BURKHOLDER


Address: 9318 Molly Pitcher Hwy, Shippensburg, PA 17257-9205
Phone: 7175328873

DEAN RALPH BURKHOLDER (NPI# 1396744462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396744462
Entity Type Individual
Full Name DEAN RALPH BURKHOLDER
Credential DC
Practice Address 9318 Molly Pitcher Hwy
Shippensburg
PA 17257-9205
Practice Telephone 7175328873
Practice Fax Number 7175323845
Mailing Telephone 7175328873
Mailing Fax Number 7175323845
Enumeration Date 2005-07-20
Last Update Date 2010-03-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor DC001937L PA Chiropractic Providers
Y 111NS0005X Chiropractor
Specialization: Sports Physician
DC001937L, CERT PA Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 0006213800003 05
AETNA 555345 01
MAMSI 287165 01

Office Location

Street Address 9318 MOLLY PITCHER HWY
City SHIPPENSBURG
State PA
Zip Code 17257-9205

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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

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Competitor

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City SHIPPENSBURG
Zip Code 17257

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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