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
Phone: (616) 530-0085
Fax: (616) 531-5029
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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