Basic Information
| Provider Information | |||||||||
| NPI: | 1841654712 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUSCHLING | ||||||||
| FirstName: | JOSH | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 N CALDWELL ST | ||||||||
| Address2: | |||||||||
| City: | STAUNTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 620881173 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6186352200 | ||||||||
| FaxNumber: | 6186352200 | ||||||||
| Practice Location | |||||||||
| Address1: | 325 N CALDWELL ST | ||||||||
| Address2: | |||||||||
| City: | STAUNTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 620881421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6186352221 | ||||||||
| FaxNumber: | 6186352269 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2016 | ||||||||
| LastUpdateDate: | 04/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2018005678 | MO | N | Allopathic & Osteopathic Physicians | Family Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | 036150962 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.