Provider Demographics
NPI:1013714054
Name:PAUL H BULLER MD
Entity type:Organization
Organization Name:PAUL H BULLER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:BULLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:574-534-4880
Mailing Address - Street 1:1302 COLLEGE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-4939
Mailing Address - Country:US
Mailing Address - Phone:574-534-4880
Mailing Address - Fax:574-534-4868
Practice Address - Street 1:1302 COLLEGE AVE STE 1
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-4939
Practice Address - Country:US
Practice Address - Phone:574-534-4880
Practice Address - Fax:574-534-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility