Healthcare Provider Details

I. General information

NPI: 1689354474
Provider Name (Legal Business Name): BUHLE CHIROPRACTIC & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 08/11/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 LINCOLNWAY
VALPARAISO IN
46383-5609
US

IV. Provider business mailing address

308 LINCOLNWAY
VALPARAISO IN
46383-5609
US

V. Phone/Fax

Practice location:
  • Phone: 219-510-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGAN DEMEO BUHLE
Title or Position: DOCTOR/OWNER
Credential: DC
Phone: 219-241-6188