Healthcare Provider Details

I. General information

NPI: 1821162843
Provider Name (Legal Business Name): DAVID WALTER BUEHNER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12973 RAVENNA RD
CHARDON OH
44024-9029
US

IV. Provider business mailing address

12973 RAVENNA RD
CHARDON OH
44024-9029
US

V. Phone/Fax

Practice location:
  • Phone: 440-286-3331
  • Fax: 440-286-1182
Mailing address:
  • Phone: 440-286-3331
  • Fax: 440-286-1182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1838
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: