Doctor Name: | JILLANA G. BURGESS |
NPI Number: | 1447250881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 845 |
Business Practice Address: | 315 W Washington Ave Suite A Artesia, NM - 882102883 |
Business Phone Number: | 5057483305 |
Business Fax Number: | 5057483305 |
Mailing Address: | 315 W Washington Ave, Suite A ARTESIA |
State: | NM |
Postal Code: | 882102883 |
Phone Number: | 5057483305 |
Fax Number: | 5057483305 |
NPI Enumeration Date: | 07/28/2005 |
NPI Last Update Date: | 07/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/22/2006 |
NPI Reactivation Date: | 03/29/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |