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NPI Code Detail

MEDICARE: DR. JAN SCOTT BUCHHOLZ DC

MEDICARE:  DR. JAN SCOTT BUCHHOLZ  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH6264FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629179775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAN SCOTT BUCHHOLZ DC
Provider Business Mailing Address
First Line : 3770 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1152
Country : US
Telephone Number : 954-731-4900
Fax Number : 954-731-4901
Provider Business Practice Location Address
First Line : 3770 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1152
Country : US
Telephone Number : 954-731-4900
Fax Number : 954-731-4901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/09/2013

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Directions to “ DR. JAN SCOTT BUCHHOLZ DC” Practice Location

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