Individual
DR. CHAD DAVID BUOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
337 W KING ST, EAST BERLIN, PA 17316-9730
(717) 259-8813
(717) 259-0988
Mailing address
PO BOX 1010, EAST BERLIN, PA 17316-1010
(717) 259-8813
(717) 259-0988
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC007552L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10923906
TRIAD
PA
01
—
3000240
HMO KEYSTONE
PA
01
—
3478163
AETNA
PA
01
—
50030444
KEYSTONE BC HMO
PA
01
—
50030447
BLUE CROSS
PA
01
—
903165
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/16/2006
Last updated
07/08/2007
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