Healthcare Provider Details

I. General information

NPI: 1285857540
Provider Name (Legal Business Name): CRAIG F. BUHLER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 N 300 W SUITE #5
KAYSVILLE UT
84037-4203
US

IV. Provider business mailing address

447 N 300 W SUITE #5
KAYSVILLE UT
84037-4203
US

V. Phone/Fax

Practice location:
  • Phone: 801-544-2355
  • Fax: 801-544-2358
Mailing address:
  • Phone: 801-544-2355
  • Fax: 801-544-2358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1634321202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: