Bucshon, Larry Dean

Bucshon, Larry Dean is an individual health care provider with primary practice located at 901 St Marys Dr Suite 300, Evansville IN 47714-8005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bucshon, Larry Dean can be contacted via phone (812) 473-2642.

Contact Information

Primary practice address
901 St Marys Dr Suite 300 Evansville IN 47714-8005
Fax: (812) 474-4458
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01048423A Indiana

Profile Details

NPI number 1760489504
LBN Legal business name Bucshon, Larry Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760489504 NPPES
Kentucky MEDICAID 64883226

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