Bucshon, Larry Dean
Bucshon, Larry Dean is an individual health care provider with primary practice located at 901 St Marys Dr Suite 300, Evansville IN 47714-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bucshon, Larry Dean can be contacted via phone (812) 473-2642.Contact Information
Primary practice address
901 St Marys Dr Suite 300
Evansville IN 47714-8005
Phone: (812) 473-2642
Fax: (812) 474-4458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01048423A | Indiana |
Profile Details
| NPI number | 1760489504 |
|---|---|
| LBN Legal business name | Bucshon, Larry Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760489504 | NPPES |
| Kentucky | MEDICAID | 64883226 |
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