Provider Demographics
NPI:1356514871
Name:BUEHNER CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:BUEHNER CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-288-1771
Mailing Address - Street 1:575 E 4500 S
Mailing Address - Street 2:SUITE B200
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2973
Mailing Address - Country:US
Mailing Address - Phone:801-288-1771
Mailing Address - Fax:
Practice Address - Street 1:575 E 4500 S
Practice Address - Street 2:SUITE B200
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2973
Practice Address - Country:US
Practice Address - Phone:801-288-1771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1753591202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty