Basic Information
Provider Information
NPI: 1336290212
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUEHLMAN
FirstName: WILLIAM
MiddleName: VICTOR
NamePrefix: MR.
NameSuffix:  
Credential: C.A.T.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 438 PARIS ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941122716
CountryCode: US
TelephoneNumber: 4155868444
FaxNumber:  
Practice Location
Address1: 1001 POTRERO AVE
Address2: SAN FRANCISCO GENERAL HOSPITAL,OTOP, BUILDING 90
City: SAN FRANCISCO
State: CA
PostalCode: 941103518
CountryCode: US
TelephoneNumber: 4152063947
FaxNumber: 4152066875
Other Information
ProviderEnumerationDate: 01/16/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X030808CAY Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)

No ID Information.


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