Provider Demographics
NPI:1144612276
Name:BUCKLER CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:BUCKLER CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-893-8700
Mailing Address - Street 1:4747 E ELLIOT RD
Mailing Address - Street 2:SUITE 32
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-1630
Mailing Address - Country:US
Mailing Address - Phone:480-893-8700
Mailing Address - Fax:480-893-1300
Practice Address - Street 1:4747 E ELLIOT RD
Practice Address - Street 2:SUITE 32
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-1627
Practice Address - Country:US
Practice Address - Phone:480-893-8700
Practice Address - Fax:480-893-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty