Provider Demographics
NPI:1598156523
Name:BUCHANAN, WILLIAM (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 769
Mailing Address - Street 2:STE 3
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39760-0769
Mailing Address - Country:US
Mailing Address - Phone:662-546-4400
Mailing Address - Fax:662-268-4634
Practice Address - Street 1:107 N BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-0794
Practice Address - Country:US
Practice Address - Phone:434-447-8996
Practice Address - Fax:434-955-2582
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor