Burlage Chiropractic Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3522 Issued in WI

Legal business name

BURLAGE CHIROPRACTIC WELLNESS CENTER LLC

Practice address

602A Corner St
Lodi, WI 53555-1109

Phone

(608) 592-1444

NPI assigned

Nov 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas F Burlage, DCNPI 1013081470

Title

Chiropractor

Phone

(608) 592-1444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas F Burlage, DC

  • Chiropractor
  • Lodi, WI
  • NPI 1013081470
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437223880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602A CORNER ST",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551109",
            "telephone_number": "608-592-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602A CORNER ST",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551109",
            "telephone_number": "608-592-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLAGE CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURLAGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-592-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38930100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bittner Clinic LLC (Lodi Chiropractic Clinic)
• Amber Lyn Bittner, D.C.
• Breunig Family Chiropractic LLC
• Jennifer A Breunig, D.C.
• Deborah Lynn Brock, PHD
• Thomas F Burlage, DC
• Andrea M Chao, MD
• Joel Robert Cooper, D.C.
• Joel Patrick Crane, DDS
• Divine Rehabilitation and Nursing at Lodi LLC

• Chiropractor in Lodi, WI
• Providers in Lodi, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.