Individual
DR. MICHAEL DAVID BUCKNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7921 TANNER WILLIAMS RD, SUITE B, MOBILE, AL 36608-8308
(251) 607-0040
(251) 607-7202
Mailing address
7921 TANNER WILLIAMS RD, SUITE B, MOBILE, AL 36608-8308
(251) 607-0040
(251) 607-7202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2091
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#01465
BCBS UPIN
AL
05
—
009983115
—
AL
01
—
51523710
BCBS PROVIDER NUMBER
AL
05
—
529922410
—
AL
01
—
V06119
HEALTHSPRING PROVIDER NUM
AL
01
—
Z02058
VIVAHEALTH PROVIDER NUM
AL
Enumeration date
03/15/2007
Last updated
08/29/2012
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