Jack S Buzzard Jr., D.C.
Individual provider Active NPI Chiropractor · Franklin, KY
NPI 1881736239 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1881736239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4016 (KY)
- Practice address
- 714 N Main St
Franklin, KY 42134-1332 - Phone
- (270) 586-9021
- NPI assigned
- Feb 13, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4016 | KY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4016 | KY | Yes |
Addresses
Primary practice location
714 N Main St
Franklin, KY 42134-1332
Mailing address
714 N Main St
Franklin, KY 42134-1332
Phone (270) 586-9021
Other providers in Franklin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2009. 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.