Samuel John Buckett in Clintonville - Chiropractor
Samuel John Buckett - NPI 1174734289
Samuel John Buckett is a Chiropractor in Clintonville, Wisconsin. Samuel John Buckett practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Samuel John Buckett is 1174734289. The last update date is 2007-07-08.
Samuel John Buckett's current location address is E9180 Golf Club Road, Clintonville, Wisconsin. You can contact this provider via phone number 7158232121 and fax number 7158235969. The mailing address for Samuel John Buckett is E9180 Golf Club Road, Clintonville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel John Buckett |
|---|---|
| Address | E9180 Golf Club Road, Clintonville, Wisconsin |
| Phone Number | 7158232121 |
| Fax Number | 7158235969 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1174734289 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | E9180 Golf Club Road |
|---|---|
| City | Clintonville |
| State | Wisconsin (WI) |
| Post Code | 54929 |
| Phone Number | 7158232121 |
| Fax Number | 7158235969 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4314 |
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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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What is the unique provider identifier assigned to Samuel John Buckett?
The Samuel John Buckett has been issued the NPI (National Provider Identifier) 1174734289 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Samuel John Buckett?
The Samuel John Buckett is physically situated at E9180 Golf Club Road, in the city of Clintonville, state of WI, with the postal code 54929.
What is Samuel John Buckett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Samuel John Buckett is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did Samuel John Buckett receive its 1174734289 assignment from the Centers for Medicare & Medicaid Services?
The Samuel John Buckett was assigned its 1174734289 on 2007-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Samuel John Buckett's information last updated?
The Samuel John Buckett's information was last updated on 2007-07-08.