Bucknell, Michael David

Bucknell, Michael David is an sole proprietor health care provider with primary practice located at 7921 Tanner Williams Rd Suite B, Mobile AL 36608-8308. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bucknell, Michael David can be contacted via phone (251) 607-0040.

Contact Information

Primary practice address
7921 Tanner Williams Rd Suite B Mobile AL 36608-8308
Phone: (251) 607-0040
Fax: (251) 607-7202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2091 Alabama

Profile Details

NPI number 1578697207
LBN Legal business name Bucknell, Michael David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Aug 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578697207 NPPES
Alabama MEDICAID 529922410
Alabama Other Z02058
Alabama Other V06119
Alabama MEDICAID 009983115
Alabama Other #01465
Alabama Other 51523710

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