Provider Demographics
NPI:1659447522
Name:BUKUTS CHIROPRACTIC HEALTH AND WELLNESS CENTER LTD
Entity Type:Organization
Organization Name:BUKUTS CHIROPRACTIC HEALTH AND WELLNESS CENTER LTD
Other - Org Name:SUNSHOWER CHIROPRACTIC WELLNESS CENTER LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:TROMPOWER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-834-2537
Mailing Address - Street 1:3821 WALES AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646
Mailing Address - Country:US
Mailing Address - Phone:330-834-2537
Mailing Address - Fax:330-834-9477
Practice Address - Street 1:3821 WALES AVE NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646
Practice Address - Country:US
Practice Address - Phone:330-834-2537
Practice Address - Fax:330-834-9477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3739111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty