MEDICARE: NEVE BUSCH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	MA067341	PA
2	363A00000X	Physician Assistant	OA006534	PA

General Provider Information

NPI Number	:	1780398362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEVE BUSCH PA-C

Provider Business Mailing Address
First Line	:	2004 W STATE ST
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-1248
Country	:	US
Telephone Number	:	724-658-3712
Fax Number	:

Provider Business Practice Location Address
First Line	:	2004 W STATE ST
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-1248
Country	:	US
Telephone Number	:	724-658-3712
Fax Number	:	724-658-3717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	11/18/2025

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Directions to “ NEVE BUSCH PA-C” Practice Location

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