Provider Demographics
NPI:1720291842
Name:ROBERT W. BUCHANAN DC PA
Entity type:Organization
Organization Name:ROBERT W. BUCHANAN DC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-763-1479
Mailing Address - Street 1:1807 34TH STREET
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79411
Mailing Address - Country:US
Mailing Address - Phone:806-763-1479
Mailing Address - Fax:806-763-0826
Practice Address - Street 1:1807 34TH STREET
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79411
Practice Address - Country:US
Practice Address - Phone:806-763-1479
Practice Address - Fax:806-763-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7393111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0020KUOtherBCBS
TX8K1477OtherDR BUCHANANA BCBS
TX0020KUOtherBCBS