Healthcare Provider Details

I. General information

NPI: 1588739437
Provider Name (Legal Business Name): DEBORAH C. BUZBY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

691 ROUTE 9 S
LITTLE EGG HARBOR NJ
08087-4020
US

IV. Provider business mailing address

691 ROUTE 9 S
LITTLE EGG HARBOR NJ
08087-4020
US

V. Phone/Fax

Practice location:
  • Phone: 609-294-2700
  • Fax: 609-294-2700
Mailing address:
  • Phone: 609-294-2700
  • Fax: 609-294-2700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00467600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: