Samantha Marie Buszek
in Kokomo, IN. Individual provider (NPI-1).
NPI number1407201643
StatusActive
Last updated in NPPESAug 16, 2021
Details
- NPI
- 1407201643
- Entity type
- Individual (NPI-1)
- Name
- Samantha Marie Buszek
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2016
- Certification date
- Aug 16, 2021
- Last updated
- Aug 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 01084725A | IN | Yes | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Samantha Marie Bitter (Former Name)
Practice location
3500 S Lafountain StKokomo, IN 46902-3803
Phone 765-776-3020
Mailing address
6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone 317-621-7584 · Fax 513-686-6868
Other practice locations
4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Cincinnati, OH 45236-2725
Phone 513-686-5446 · Fax 513-686-6868
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