Provider Demographics
NPI:1790856631
Name:BUELL, STEVEN MICHALE (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHALE
Last Name:BUELL
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6305 S GREENLEAF AVE
Mailing Address - Street 2:PO BOX 800
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601
Mailing Address - Country:US
Mailing Address - Phone:562-693-7929
Mailing Address - Fax:562-947-6275
Practice Address - Street 1:6305 S GREENLEAF AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601
Practice Address - Country:US
Practice Address - Phone:562-693-7929
Practice Address - Fax:562-947-6275
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC16286Medicare ID - Type Unspecified