Individual
CHARLES BUCKLAR JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2920 SAINT LAWRENCE AVE, READING, PA 19606-2233
(610) 779-7749
(610) 779-4110
Mailing address
2920 SAINT LAWRENCE AVE, READING, PA 19606-2233
(610) 779-7749
(610) 779-4110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002659L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001234
ASHN
—
01
—
11446687
CAQH
—
01
—
1320044
HIGHMARK BLUE SHIELD
—
01
—
2012804000
INDEPENDENO BLUE CROSSHMO
—
01
—
3832026
AETNA HMO
—
01
—
7087479
AETNA PPO
—
Enumeration date
02/14/2006
Last updated
07/08/2007
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