Healthcare Provider Details

I. General information

NPI: 1437137718
Provider Name (Legal Business Name): JOHN H BUCHAN JR. D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S CLEVELAND AVE
WESTERVILLE OH
43081-8958
US

IV. Provider business mailing address

550 S CLEVELAND AVE
WESTERVILLE OH
43081-8958
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-7224
  • Fax: 614-890-8253
Mailing address:
  • Phone: 614-890-7224
  • Fax: 614-890-8253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36001890
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: