Healthcare Provider Details
I. General information
NPI: 1346404498
Provider Name (Legal Business Name): BUESING CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2008
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4295 POINT PLEASANT PIKE
DANBORO PA
18916
US
IV. Provider business mailing address
PO BOX 368
DANBORO PA
18916-0368
US
V. Phone/Fax
- Phone: 215-345-4323
- Fax: 215-345-9456
- Phone: 215-345-4323
- Fax: 215-345-9456
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | DC007800L |
| License Number State | PA |
VIII. Authorized Official
Name:
JAMES
J
BUESING
Title or Position: OWNER
Credential: DC
Phone: 215-345-4323