Provider Demographics
NPI:1043538325
Name:RICHARD ANDREW BUSS, PC
Entity Type:Organization
Organization Name:RICHARD ANDREW BUSS, PC
Other - Org Name:RAINMAKER ENTERPRISES, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED, LIMHP
Authorized Official - Phone:402-853-2396
Mailing Address - Street 1:4910 NORMAL BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-6300
Mailing Address - Country:US
Mailing Address - Phone:402-853-2396
Mailing Address - Fax:
Practice Address - Street 1:7257 ANDY DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1021
Practice Address - Country:US
Practice Address - Phone:402-853-2396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1812251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health