Provider Demographics
NPI:1558767087
Name:BUCHE, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BUCHE
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 1:904 E GARFIELD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-3953
Mailing Address - Country:US
Mailing Address - Phone:307-248-2438
Mailing Address - Fax:
Practice Address - Street 1:904 E GARFIELD ST APT 1
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-3953
Practice Address - Country:US
Practice Address - Phone:307-248-2438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management