Provider Demographics
NPI:1811644859
Name:BUGG CHIROPRACTIC INC.
Entity type:Organization
Organization Name:BUGG CHIROPRACTIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUGG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-260-1367
Mailing Address - Street 1:34595 AVENUE H
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-5325
Mailing Address - Country:US
Mailing Address - Phone:909-260-1367
Mailing Address - Fax:
Practice Address - Street 1:1235 INDIANA CT STE 105
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4540
Practice Address - Country:US
Practice Address - Phone:909-793-4515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty