Provider Demographics
NPI:1932546991
Name:BUCHTA, GEOFFREY (DC)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:
Last Name:BUCHTA
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 1:1920 N BELL ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2761
Mailing Address - Country:US
Mailing Address - Phone:402-816-4135
Mailing Address - Fax:402-816-4147
Practice Address - Street 1:1920 N BELL ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2761
Practice Address - Country:US
Practice Address - Phone:402-816-4135
Practice Address - Fax:402-816-4147
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor