Individual provider · Type 1 NPI
Mike Buckle, DC
Chiropractor · Santa Monica, CA
NPI number
1619329901
Active
Practice location
2422 Wilshire Blvd
Santa Monica, CA 90403-5806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC31143 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1619329901
Mike Buckle, DC's National Provider Identifier is 1619329901, issued on Jul 11, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 11, 2016.