Provider Demographics
NPI:1407415136
Name:BUEHLER, JASON L (APRN)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:L
Last Name:BUEHLER
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEBO
Mailing Address - State:KS
Mailing Address - Zip Code:66856-9437
Mailing Address - Country:US
Mailing Address - Phone:620-256-6346
Mailing Address - Fax:620-256-6219
Practice Address - Street 1:118 W 4TH ST
Practice Address - Street 2:
Practice Address - City:LEBO
Practice Address - State:KS
Practice Address - Zip Code:66856-9437
Practice Address - Country:US
Practice Address - Phone:620-256-6346
Practice Address - Fax:620-256-6219
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-78753363L00000X
KS53-78753-051363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner