Healthcare Provider Details
I. General information
NPI: 1013198944
Provider Name (Legal Business Name): ALAN FRANCIS BUGAI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/20/2007
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1424 N MCEWAN ST
CLARE MI
48617-1114
US
IV. Provider business mailing address
1424 N MCEWAN ST
CLARE MI
48617-1114
US
V. Phone/Fax
- Phone: 989-386-3838
- Fax: 989-386-2158
- Phone: 989-386-3838
- Fax: 989-386-2158
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2301005240 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: