Organization Name: | BELLEFONTE PHYSICIAN SERVICES, INC |
NPI Number: | 1881846350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOE BUCHHEIT (CFO) |
Mailing Address: | 903 Bellefonte Rd Ste. B Flatwoods |
State: | KY US |
Postal Code: | 411392005 |
Phone Number: | 6068360156 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2008 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |