Provider Demographics
NPI:1508163049
Name:BUZEK CHIROPRACTIC PC
Entity Type:Organization
Organization Name:BUZEK CHIROPRACTIC PC
Other - Org Name:BUZEK CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACE
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:BUZEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-516-5641
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-0161
Mailing Address - Country:US
Mailing Address - Phone:724-420-5297
Mailing Address - Fax:724-289-1839
Practice Address - Street 1:137 MATHEWS ST
Practice Address - Street 2:STE 2100
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6940
Practice Address - Country:US
Practice Address - Phone:724-420-5297
Practice Address - Fax:724-289-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010249111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty