Provider Demographics
NPI:1457538555
Name:BUHLER, JESSICA ERIN (DC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:ERIN
Last Name:BUHLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ONIDA
Mailing Address - State:SD
Mailing Address - Zip Code:57564
Mailing Address - Country:US
Mailing Address - Phone:605-258-2626
Mailing Address - Fax:
Practice Address - Street 1:101 S 9TH ST
Practice Address - Street 2:B
Practice Address - City:ONIDA
Practice Address - State:SD
Practice Address - Zip Code:57564-2143
Practice Address - Country:US
Practice Address - Phone:605-258-2292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor