Provider Demographics
NPI:1811244551
Name:BUGG FAMILY CHIROPRACTIC APC
Entity type:Organization
Organization Name:BUGG FAMILY CHIROPRACTIC APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BUGG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-480-2909
Mailing Address - Street 1:235 W 5TH AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4804
Mailing Address - Country:US
Mailing Address - Phone:760-480-2909
Mailing Address - Fax:760-480-8684
Practice Address - Street 1:235 W 5TH AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4804
Practice Address - Country:US
Practice Address - Phone:760-480-2909
Practice Address - Fax:760-480-8684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U44715Medicare UPIN