1710998166 NPI number — DR. WILLIAM MIRCEA BUCUR D.C.

Table of content: DR. WILLIAM MIRCEA BUCUR D.C. (NPI 1710998166)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710998166 NPI number — DR. WILLIAM MIRCEA BUCUR D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUCUR
Provider First Name:
WILLIAM
Provider Middle Name:
MIRCEA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUCUR
Provider Other First Name:
MIRCEA
Provider Other Middle Name:
CODRU
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1710998166
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16995 W GREENWAY RD STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SURPRISE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85388-9609
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-433-8895
Provider Business Mailing Address Fax Number:
623-455-8759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16630 W GREENWAY RD
Provider Second Line Business Practice Location Address:
321
Provider Business Practice Location Address City Name:
SURPRISE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85388-2185
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-433-8895
Provider Business Practice Location Address Fax Number:
623-455-8759
Provider Enumeration Date:
08/11/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  7713 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)