Provider Demographics
NPI:1134990534
Name:BUCKLER, ALEX (DC)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:BUCKLER
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 1:379 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-4070
Mailing Address - Country:US
Mailing Address - Phone:978-373-7871
Mailing Address - Fax:978-374-3005
Practice Address - Street 1:379 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-4070
Practice Address - Country:US
Practice Address - Phone:978-373-7871
Practice Address - Fax:978-374-3005
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACHI3845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor