Healthcare Provider Details

I. General information

NPI: 1992149298
Provider Name (Legal Business Name): BUESING CHIROPRACTIC AND CHIROPRACTIC CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 06/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3136 HAMILTON BLVD 102
ALLENTOWN PA
18103-3671
US

IV. Provider business mailing address

3136 HAMILTON BLVD 102
ALLENTOWN PA
18103-3671
US

V. Phone/Fax

Practice location:
  • Phone: 610-740-9990
  • Fax: 610-437-9992
Mailing address:
  • Phone: 610-740-9990
  • Fax: 610-437-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC010318
License Number StatePA

VIII. Authorized Official

Name: DR. DANNY BUESING JR.
Title or Position: OWNER/DOCOTR
Credential: D.C.
Phone: 973-229-6988