Provider Demographics
NPI:1699736751
Name:BURNS, JANICE C (DC)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:C
Last Name:BURNS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 COTUIT RD
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-2428
Mailing Address - Country:US
Mailing Address - Phone:508-833-0410
Mailing Address - Fax:508-888-4007
Practice Address - Street 1:331 COTUIT RD
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-2428
Practice Address - Country:US
Practice Address - Phone:508-833-0410
Practice Address - Fax:508-888-4007
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39780OtherBC/BS GROUP
MA35221OtherHARVARD PILGRIM HEALTH
MAY35946OtherBC/BS INDIVIDUAL
MAY35946OtherBC/BS INDIVIDUAL
MAY49151Medicare ID - Type Unspecified
MA350047411Medicare ID - Type UnspecifiedRAILROAD MEDICARE