Provider Demographics
NPI:1841654712
Name:BUSCHLING, JOSH (DO)
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:
Last Name:BUSCHLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N CALDWELL ST
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:IL
Mailing Address - Zip Code:62088-1173
Mailing Address - Country:US
Mailing Address - Phone:618-635-2200
Mailing Address - Fax:618-635-2200
Practice Address - Street 1:325 N CALDWELL ST
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:IL
Practice Address - Zip Code:62088-1421
Practice Address - Country:US
Practice Address - Phone:618-635-2221
Practice Address - Fax:618-635-2269
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018005678207Q00000X
390200000X
IL036150962207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program