Provider Demographics
NPI:1871093211
Name:BUHLE, MEGAN DEMEO (DC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:DEMEO
Last Name:BUHLE
Suffix:
Gender:F
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:BUHLE CHIROPRACTIC & WELLNESS
Mailing Address - Street 2:308 LINCONLWAY
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385
Mailing Address - Country:US
Mailing Address - Phone:219-241-6188
Mailing Address - Fax:
Practice Address - Street 1:BUHLE CHIROPRACTIC & WELLNESS
Practice Address - Street 2:308 LINCONLWAY
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385
Practice Address - Country:US
Practice Address - Phone:219-241-6188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003018A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN08003018AMedicaid