Provider Demographics
NPI:1013105774
Name:DR JASON A BUEHLER PA
Entity Type:Organization
Organization Name:DR JASON A BUEHLER PA
Other - Org Name:BUEHLER FAMILY CHIROPRACTIC LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-483-7525
Mailing Address - Street 1:2066 CLASSIQUE LN
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-5787
Mailing Address - Country:US
Mailing Address - Phone:352-483-7525
Mailing Address - Fax:352-483-7529
Practice Address - Street 1:2066 CLASSIQUE LN
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5787
Practice Address - Country:US
Practice Address - Phone:352-483-7525
Practice Address - Fax:352-483-7529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9545Medicare PIN