Bueckman, Kevin W

Bueckman, Kevin W is an sole proprietor health care provider with primary practice located at 653 36Th St Sw , Wyoming MI 49509-4004. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bueckman, Kevin W can be contacted via phone (616) 530-0085.

Contact Information

Primary practice address
653 36Th St Sw Wyoming MI 49509-4004
Fax: (616) 531-5029
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X KB004130 Michigan

Profile Details

NPI number 1710001896
LBN Legal business name Bueckman, Kevin W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 9th, 2007 - about 17 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 1710001896 NPPES
Michigan Other 950 D1 5107 BCBS PROVIDER ID
Michigan Other P52560 BCBS PROVIDER ID
Michigan MEDICAID 2117924 BCBS PROVIDER ID

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