CHARLES BUCKLAR JR. (NPI# 1366416695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366416695 |
| Entity Type | Individual |
| Full Name | CHARLES BUCKLAR JR. |
| Credential | DC |
| Practice Address |
2920 Saint Lawrence Ave Reading PA 19606-2233 |
| Practice Telephone | 6107797749 |
| Practice Fax Number | 6107794110 |
| Mailing Telephone | 6107797749 |
| Mailing Fax Number | 6107794110 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC002659L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASHN | 1001234 | 01 | |
| CAQH | 11446687 | 01 | |
| INDEPENDENO BLUE CROSSHMO | 2012804000 | 01 | |
| AETNA HMO | 3832026 | 01 | |
| HIGHMARK BLUE SHIELD | 1320044 | 01 | |
| AETNA PPO | 7087479 | 01 |
| Street Address |
2920 SAINT LAWRENCE AVE |
| City | READING |
| State | PA |
| Zip Code | 19606-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932164365 | Alpha Rehabilitation Inc | Chiropractor | 2920 Saint Lawrence Ave, Reading, PA 19606-2233 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699293977 | Vitalia Lopez | Licensed Practical Nurse | 1064 Fox Run, Reading, PA 19606 | 2017-09-06 |
| 1033665815 | Tyler Black | Pharmacist | 320 Parkview Ave, Reading, PA 19606 | 2016-08-31 |
| 1003285214 | Brittany Stankovic | Speech-Language Pathologist | 208 Lincoln Drive, Reading, PA 19606 | 2015-09-17 |
| 1225431190 | Theodore Wallace Jr. | Behavioral Analyst | 66 Rockhaven Court, Reading, PA 19606 | 2014-10-06 |
| 1326314790 | Megan Ann Guzowski | Occupational Therapy Assistant | 5501 Perkiomen Avenue, Reading, PA 19606 | 2012-03-29 |
| 1720241367 | Jose A Ruiz Martinez | Pharmacist | 23 Pickwick Pl, Exeter, PA 19606 | 2008-07-03 |
| 1194925263 | Jon M Kanegawa | Dentist | 4462 Boyertown Pike, Reading, PA 19606 | 2007-07-18 |
| 1780722298 | Randal Cory Reinecker | Dentist | 5 Hearthstone Court, Suite 102, Reading, PA 19606 | 2007-02-05 |
| 1003953423 | James C Petras | Dentist | 2951 St Lawrence Ave, Reading, PA 19606 | 2007-02-01 |
| 1639234966 | Glenn D Ruoss | Dentist | 17 North 23rd St, Mt Penn, PA 19606 | 2006-12-27 |
| Find all providers in zip 19606 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972071942 | Tabetha Super | Chiropractor | 1440 Birch St, Reading, PA 19604-1840 | 2018-11-08 |
| 1013263276 | Sean Michael Englehart | Chiropractor | 2611 Hampden Blvd, Apt G, Reading, PA 19604-1010 | 2012-07-25 |
| 1205159225 | Anthony M Odell Dc PC | Chiropractor | 3227 Perkiomen Ave, Reading, PA 19606-2740 | 2010-03-04 |
| 1538352117 | Daniel David Sennett | Chiropractor | 19 W Benson St # B, Reading, OH 45215-3268 | 2007-08-27 |
| 1548464688 | Alpha Chiropractic | Chiropractor | 336 S 6th St, Reading, PA 19602-2404 | 2007-06-13 |
| 1730382466 | Bruce Clay Gipson | Chiropractor | 2027 Lorraine Rd, Reading, PA 19604-1420 | 2007-06-08 |
| 1366655649 | Matthews Chiropractic Clinic | Chiropractor | 215 N Kenhorst Blvd, Reading, PA 19607-1535 | 2007-05-07 |
| 1477765287 | Berks County Orthopedics | Chiropractor | 438 Walnut Street, 2nd Floor, Reading, PA 19601 | 2007-05-04 |
| 1801918016 | Larry E Behm | Chiropractor | 3961 Perkiomen Ave, Reading, PA 19606-2718 | 2007-04-06 |
| 1184743577 | Zachary David Fatkin | Chiropractor | 2421 Kutztown Rd, Reading, PA 19605-2957 | 2007-03-28 |
| Find all providers in READING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.