Jay Riley Bulfer, DC
Individual provider Active NPI Chiropractor · Waseca, MN
NPI 1700565215 · NPPES record last updated Jul 12, 2023
Key facts
- NPI
- 1700565215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7120 (MN)
- Practice address
- 1800 North State
Waseca, MN 56093 - Phone
- (507) 461-5260
- NPI assigned
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7120 | MN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7120 | MN | Yes |
Addresses
Primary practice location
1800 North State
Waseca, MN 56093
Mailing address
39621 150TH Street
Waseca, MN 56093
Phone (507) 461-5260
Other practice location 1
1223 Hwy 60 West
Faribault, MN 55021
Phone (507) 461-5260
Other providers in Waseca, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.