Individual
BRENDEN K BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
539 BALTIMORE ST, HANOVER, PA 17331-3315
(717) 633-5411
(717) 633-9825
Mailing address
539 BALTIMORE ST, HANOVER, PA 17331-3315
(717) 633-5411
(717) 633-9825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-004120L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1429343
BLUE SHIELD GROUP NUMBER
PA
Enumeration date
02/05/2007
Last updated
07/08/2007
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