Buckner, Jeremy Ray
Buckner, Jeremy Ray is an individual health care provider with primary practice located at 4540 E Baseline Rd Ste 105 , Mesa AZ 85206-4616. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Buckner, Jeremy Ray can be contacted via phone (480) 819-0393.Contact Information
Primary practice address
4540 E Baseline Rd Ste 105
Mesa AZ 85206-4616
Phone: (480) 819-0393
Fax: (480) 536-9170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 4180 | Arizona |
| Chiropractic Providers / Chiropractor | 111N00000X | 7490 | Arizona |
Profile Details
| NPI number | 1104805332 |
|---|---|
| LBN Legal business name | Buckner, Jeremy Ray |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Nov 10th, 2020 - about 6 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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