Provider Demographics
NPI:1033726096
Name:BUCHMAN, ANGIE LEA
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:LEA
Last Name:BUCHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 W WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:PAULDING
Mailing Address - State:OH
Mailing Address - Zip Code:45879-1543
Mailing Address - Country:US
Mailing Address - Phone:419-770-2899
Mailing Address - Fax:
Practice Address - Street 1:912 W WAYNE ST
Practice Address - Street 2:
Practice Address - City:PAULDING
Practice Address - State:OH
Practice Address - Zip Code:45879-1543
Practice Address - Country:US
Practice Address - Phone:419-770-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care