MEDICARE: DR. PETER BULCHER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHR.0007549	CO

General Provider Information

NPI Number	:	1427574664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER BULCHER DC

Provider Business Mailing Address
First Line	:	1618 WINDSOR CT
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-1655
Country	:	US
Telephone Number	:	608-552-1073
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 SHARP POINT DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4450
Country	:	US
Telephone Number	:	608-552-1073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2017
Last Update Date	:	08/18/2017

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