Healthcare Provider Details

I. General information

NPI: 1588790893
Provider Name (Legal Business Name): JOHN BUECHNER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 07/06/2020
Certification Date: 07/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 3RD ST STE A
EUREKA CA
95501-0587
US

IV. Provider business mailing address

310 3RD ST STE A
EUREKA CA
95501-0587
US

V. Phone/Fax

Practice location:
  • Phone: 707-616-6140
  • Fax:
Mailing address:
  • Phone: 707-616-6140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC029039
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: