Provider Demographics
NPI:1598700866
Name:MCCHAREN, BUFORD E (DC)
Entity type:Individual
Prefix:DR
First Name:BUFORD
Middle Name:E
Last Name:MCCHAREN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3852
Mailing Address - Country:US
Mailing Address - Phone:831-636-5881
Mailing Address - Fax:831-688-1214
Practice Address - Street 1:7963 SOQUEL DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3915
Practice Address - Country:US
Practice Address - Phone:831-688-1214
Practice Address - Fax:831-688-1258
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16727111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor