Provider Demographics
NPI:1205933843
Name:BURR, WILLIAM ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:BURR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8053
Mailing Address - Country:US
Mailing Address - Phone:732-244-8585
Mailing Address - Fax:732-244-2989
Practice Address - Street 1:490 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8053
Practice Address - Country:US
Practice Address - Phone:732-244-8585
Practice Address - Fax:732-244-2989
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00417700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1379014OtherUNITED HEALTHCARE
NJ0516463000OtherAMERIHEALTH
NJ2616103-003OtherCIGNA
NJ302168OtherACN GROUP
NJ76815OtherAETNA
NJ223341446OtherHORIZON BLUE CROSS/BLUE S
NJ302168OtherACN GROUP