Dr. Glen Raymond Burford
Rehabilitation Chiropractor
346 New Byhalia Rd Suite 3
Collierville
, Tennessee 38017
Dr. Glen Raymond Burford
Rehabilitation Chiropractor
346 New Byhalia Rd Suite 3
Collierville
, Tennessee 38017
(901) 854-1166
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Glen Raymond Burford
- 346 New Byhalia Rd Suite 3
- Collierville, TN
- Zip : 38017
- Fax : (901) 854-1166
- Phone : (901) 853-1734
Second Address
- Dr. Glen Raymond Burford
- 346 New Byhalia Rd Suite 3
- Collierville, TN
- Zip : 38017
- Fax : (901) 854-1166
- Phone : (901) 853-1734
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | DC461 | TN |
National Provider Identifier
| NPI | 1417099631 |
|---|---|
| Provider Name | Dr. Glen Raymond Burford |
| First Address | Collierville, TN 38017 |
| Second Address | Collierville, TN 38017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2007 |
| Last Update Date | 06/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3673910 | (02) | TN |
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.