Provider Demographics
NPI:1194469130
Name:BUI, JOSEPH (CNP)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:BUI
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 725
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-0725
Mailing Address - Country:US
Mailing Address - Phone:740-205-2007
Mailing Address - Fax:877-384-2597
Practice Address - Street 1:8535 REFUGEE RD
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9625
Practice Address - Country:US
Practice Address - Phone:740-205-2007
Practice Address - Fax:877-384-2597
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.019324363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care