Carrie Dorothy Burg
Sports Medicine
1550 Hobbs Dr
Delavan
, Wisconsin 53115-2027
Carrie Dorothy Burg
Sports Medicine
1550 Hobbs Dr
Delavan
, Wisconsin 53115-2027
(262) 740-4379
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Carrie Dorothy Burg
- 1550 Hobbs Dr
- Delavan, WI
- Zip : 53115-2027
- Fax : (262) 740-4379
- Phone : (262) 740-4370
Second Address
- Carrie Dorothy Burg
- 1550 Hobbs Dr
- Delavan, WI
- Zip : 53115-2027
- Fax : (262) 740-4379
- Phone : (262) 740-4370
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 1641-39 | WI |
| Y | 213ES0000X | Sports Medicine | 1641-39 | WI |
National Provider Identifier
| NPI | 1376170589 |
|---|---|
| Provider Name | Carrie Dorothy Burg |
| First Address | Delavan, WI 53115-2027 |
| Second Address | Delavan, WI 53115-2027 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2020 |
| Last Update Date | 26/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.