MEDICARE: DR. JACQUELINE JO BUCHEIT 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	124365	IA

General Provider Information

NPI Number	:	1639924020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELINE JO BUCHEIT DC

Provider Business Mailing Address
First Line	:	17 1ST ST NW
Second Line	:
City	:	WAUKON
State	:	IA
Zip	:	52172-1621
Country	:	US
Telephone Number	:	563-217-2960
Fax Number	:	563-794-5038

Provider Business Practice Location Address
First Line	:	504 W MAIN ST
Second Line	:
City	:	WAUKON
State	:	IA
Zip	:	52172-1850
Country	:	US
Telephone Number	:	563-217-2960
Fax Number	:	563-794-5038

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

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	12/12/2025

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