Healthcare Provider Details

I. General information

NPI: 1467679282
Provider Name (Legal Business Name): ANN R BUENGER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 WESTOWN PKWY SUITE 125
WEST DES MOINES IA
50266-6702
US

IV. Provider business mailing address

4949 WESTOWN PKWY SUITE 125
WEST DES MOINES IA
50266-6702
US

V. Phone/Fax

Practice location:
  • Phone: 515-226-8399
  • Fax: 515-226-8389
Mailing address:
  • Phone: 515-226-8399
  • Fax: 515-226-8389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number06508
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: