Healthcare Provider Details

I. General information

NPI: 1316617871
Provider Name (Legal Business Name): ALEXANDRA BUHLER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 09/21/2021
Certification Date: 09/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 6TH ST
RACINE WI
53403-1218
US

IV. Provider business mailing address

7505 OLD SPRING ST
MOUNT PLEASANT WI
53406-3312
US

V. Phone/Fax

Practice location:
  • Phone: 262-637-1822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5685-12
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: