Basic Information
| Provider Information | |||||||||
| NPI: | 1407415136 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUEHLER | ||||||||
| FirstName: | JASON | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 118 W 4TH ST | ||||||||
| Address2: | |||||||||
| City: | LEBO | ||||||||
| State: | KS | ||||||||
| PostalCode: | 668569437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202566346 | ||||||||
| FaxNumber: | 6202566219 | ||||||||
| Practice Location | |||||||||
| Address1: | 118 W 4TH ST | ||||||||
| Address2: | |||||||||
| City: | LEBO | ||||||||
| State: | KS | ||||||||
| PostalCode: | 668569437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202566346 | ||||||||
| FaxNumber: | 6202566219 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2019 | ||||||||
| LastUpdateDate: | 09/20/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 53-78753 | KS | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LP2300X | 53-78753-051 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
No ID Information.