Individual
DR. DAVID A BUDNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11820 DETROIT AVE, LAKEWOOD, OH 44107-3003
(216) 228-6622
(216) 228-0884
Mailing address
11820 DETROIT AVE, LAKEWOOD, OH 44107-3003
(216) 228-6622
(216) 228-0884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1877
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139082
ANTHEM BC/BS
OH
01
—
104382301
DEPT OF LABOR
OH
01
—
341797995
TAX ID
OH
01
—
34179799500
BWC GROUP
OH
01
—
3417979954A11
BC/BS
OH
Enumeration date
07/06/2006
Last updated
10/06/2011
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