Clark Michael Buescher in Peoria - Chiropractor
Clark Michael Buescher - NPI 1699842328
Clark Michael Buescher is a Chiropractor in Peoria, Illinois. Clark Michael Buescher practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Clark Michael Buescher is 1699842328. The last update date is 2019-02-26.
Clark Michael Buescher's current location address is 1524 W. Glen Avenue, Peoria, Illinois. You can contact this provider via phone number 3096926800 and fax number 3096924478. The mailing address for Clark Michael Buescher is 1524 W. Glen Avenue, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark Michael Buescher |
|---|---|
| Address | 1524 W. Glen Avenue, Peoria, Illinois |
| Phone Number | 3096926800 |
| Fax Number | 3096924478 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1699842328 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2019-02-26 |
Provider Mailing Address Detail
| Address | 1524 W. Glen Avenue |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61614 |
| Phone Number | 3096926800 |
| Fax Number | 3096924478 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-3404 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 072-82005 | IL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Clark Michael Buescher by the Centers for Medicare & Medicaid Services?
The Clark Michael Buescher has been issued the NPI (National Provider Identifier) 1699842328. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Clark Michael Buescher is physically located?
The Clark Michael Buescher is situated at the following address: 1524 W. Glen Avenue, Peoria, IL 61614.
What is the Clark Michael Buescher's area of specialization and corresponding taxonomy classification?
The Clark Michael Buescher's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did Clark Michael Buescher receive its 1699842328 assignment from the Centers for Medicare & Medicaid Services?
The Clark Michael Buescher was assigned its 1699842328 on 2006-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Clark Michael Buescher most recently updated or revised?
The details related to Clark Michael Buescher, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-26.