Doctor Name: | MR. STEVEN LEWIS BUELL |
NPI Number: | 1003822289 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.N. |
License Number: | 264571 |
Business Practice Address: | 9720 Sand Hollow Way Elk Grove, CA - 957578320 |
Business Phone Number: | 9166866233 |
Business Fax Number: | |
Mailing Address: | 9720 Sand Hollow Way, ELK GROVE |
State: | CA |
Postal Code: | 957578320 |
Phone Number: | 9166866233 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 264571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |