Jeffrey Gene Buntrock in Lake Geneva - Chiropractor
Jeffrey Gene Buntrock - NPI 1881624823
Jeffrey Gene Buntrock is a Chiropractor in Lake Geneva, Wisconsin. Jeffrey Gene Buntrock practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffrey Gene Buntrock is 1881624823. The last update date is 2013-05-29.
Jeffrey Gene Buntrock's current location address is 612 S Wells St, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622488177 and fax number 2622486393. The mailing address for Jeffrey Gene Buntrock is 612 S Wells St, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Gene Buntrock |
|---|---|
| Address | 612 S Wells St, Lake Geneva, Wisconsin |
| Phone Number | 2622488177 |
| Fax Number | 2622486393 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1881624823 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2013-05-29 |
Provider Mailing Address Detail
| Address | 612 S Wells St |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531472159 |
| Phone Number | 2622488177 |
| Fax Number | 2622486393 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2834-012 |
|
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 |
|---|---|---|---|
| 38863200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey Gene Buntrock by the Centers for Medicare & Medicaid Services?
The Jeffrey Gene Buntrock has been issued the NPI (National Provider Identifier) 1881624823, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeffrey Gene Buntrock's physical address?
The Jeffrey Gene Buntrock is physically located at 612 S Wells St, in the city of Lake Geneva, WI, with the postal code 531472159.
What is Jeffrey Gene Buntrock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeffrey Gene Buntrock is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date was the 1881624823 assigned to Jeffrey Gene Buntrock?
The Jeffrey Gene Buntrock was issued its 1881624823 on 2006-07-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jeffrey Gene Buntrock most recently updated?
The details pertaining to the Jeffrey Gene Buntrock, including its address, specialty, and other relevant information, were last refreshed on 2013-05-29.