Provider Demographics
NPI:1649324484
Name:BUEHLER, JASON A (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:BUEHLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2066 CLASSIQUE LN
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-5787
Mailing Address - Country:US
Mailing Address - Phone:352-483-7525
Mailing Address - Fax:352-483-7529
Practice Address - Street 1:2066 CLASSIQUE LN
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5787
Practice Address - Country:US
Practice Address - Phone:352-483-7525
Practice Address - Fax:352-483-7529
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL697295OtherOPTUM HEALTH
FL89394OtherBLUE CROSS BLUE SHIELD
FL2194434OtherCIGNA
FL697295OtherMPN
FL7093578OtherAETNA
FL697295OtherOPTUM HEALTH
FL697295OtherMPN
FLK9545Medicare ID - Type Unspecified