Healthcare Provider Details

I. General information

NPI: 1811644859
Provider Name (Legal Business Name): BUGG CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 INDIANA CT STE 105
REDLANDS CA
92374-4540
US

IV. Provider business mailing address

34595 AVENUE H
YUCAIPA CA
92399-5325
US

V. Phone/Fax

Practice location:
  • Phone: 909-793-4515
  • Fax:
Mailing address:
  • Phone: 909-260-1367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. SETH BUGG
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 909-260-1367