Individual
WILLIAM COOPER BUSCHEMEYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01025808A
IN
208800000X
Urology Physician
Primary
16210
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11622462
CAQH PROVIDER ID
—
05
—
201028540
—
IN
05
—
64162100
—
KY
01
—
P00314085
RAILROAD MEDICARE
KY
01
—
P00895271
RAILROAD MEDICARE
KY
Enumeration date
07/01/2005
Last updated
12/18/2014
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