Healthcare Provider Details

I. General information

NPI: 1053452854
Provider Name (Legal Business Name): NORMAN H BUCHMAN & ASSOC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1899 N WESTWOOD BLVD SUITE C ROOM 187
POPLAR BLUFF MO
63901-2833
US

IV. Provider business mailing address

1899 N WESTWOOD BLVD SUITE C ROOM 187
POPLAR BLUFF MO
63901-2833
US

V. Phone/Fax

Practice location:
  • Phone: 978-335-8344
  • Fax:
Mailing address:
  • Phone: 978-335-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NORMAN H BUCHMAN
Title or Position: PRES
Credential: DPM
Phone: 978-335-8344