Doctor Name: | MR. JONATHAN E BUGH |
NPI Number: | 1326032756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC15501 |
Business Practice Address: | 5239 Mission Oaks Blvd Camarillo, CA - 930125403 |
Business Phone Number: | 8054847500 |
Business Fax Number: | 8054849495 |
Mailing Address: | 5239 Mission Oaks Blvd, CAMARILLO |
State: | CA |
Postal Code: | 930125403 |
Phone Number: | 8054847500 |
Fax Number: | 8054849495 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC15501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |