Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 20A9752 | CA |
N | 207X00000X | Orthopaedic Surgeon | 8801 | MT |
N | 207XS0117X | Orthopaedic Spine Surgeon | 20A9752 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 8801 | MT |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 20A9752 | CA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 8801 | MT |
NPI | 1043284326 |
---|---|
Provider Name | Karl Edward Buechsenschuetz |
First Address | Ventura, CA 93003-3101 |
Second Address | Ventura, CA 93003-3101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 20/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H15660 | (02) | CA |