Healthcare Provider Details

I. General information

NPI: 1821079674
Provider Name (Legal Business Name): JANET MARIE BUHSE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 W MCCLAIN ST SUITE C
SCOTTSBURG IN
47170-1158
US

IV. Provider business mailing address

941 W. MCCLAIN AVENUE SUITE C
SCOTTSBURG IN
47170-0427
US

V. Phone/Fax

Practice location:
  • Phone: 812-752-7667
  • Fax: 812-752-7687
Mailing address:
  • Phone: 812-752-7667
  • Fax: 812-752-7687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01058165A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: