Provider Demographics
NPI:1689678104
Name:BUSCH, DANNY (DC)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:
Last Name:BUSCH
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 1:1668 LILLIAN CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-5419
Mailing Address - Country:US
Mailing Address - Phone:941-223-6991
Mailing Address - Fax:
Practice Address - Street 1:4115 MALLORY LN STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2906
Practice Address - Country:US
Practice Address - Phone:615-908-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8083111N00000X
TN3869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70247OtherBLUE CROSS
FL657993OtherUNITED HEALTHCARE
FL70247ZOtherMEDICARE PTAN
FL70247ZMedicare PIN
FL70247ZOtherMEDICARE PTAN