Provider Demographics
NPI:1700127800
Name:JANET M BUHSE MD PC
Entity Type:Organization
Organization Name:JANET M BUHSE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BUHSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-752-7667
Mailing Address - Street 1:941 W MCCLAIN AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47170-1158
Mailing Address - Country:US
Mailing Address - Phone:812-752-7705
Mailing Address - Fax:812-752-7687
Practice Address - Street 1:941 W MCCLAIN AVE STE C
Practice Address - Street 2:
Practice Address - City:SCOTTSBURG
Practice Address - State:IN
Practice Address - Zip Code:47170
Practice Address - Country:US
Practice Address - Phone:812-752-7667
Practice Address - Fax:812-752-7687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01058165A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200444280AMedicaid
IN200444280AMedicaid