Provider Demographics
NPI:1588923478
Name:SCOTT BUSKER D.C. P.C.
Entity type:Organization
Organization Name:SCOTT BUSKER D.C. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BUSKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-970-3181
Mailing Address - Street 1:3940 N. MILLER RD.
Mailing Address - Street 2:SUITE G
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251
Mailing Address - Country:US
Mailing Address - Phone:480-970-3181
Mailing Address - Fax:480-970-8031
Practice Address - Street 1:3940 N. MILLER RD.
Practice Address - Street 2:SUITE G
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251
Practice Address - Country:US
Practice Address - Phone:480-970-3181
Practice Address - Fax:480-970-8031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4826111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U45890Medicare UPIN
DC4826Medicare PIN