Provider Demographics
NPI:1962573287
Name:ALBERT W.BUCH,DO,INC
Entity type:Organization
Organization Name:ALBERT W.BUCH,DO,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-385-9300
Mailing Address - Street 1:PO BOX 2743
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-0743
Mailing Address - Country:US
Mailing Address - Phone:330-385-9300
Mailing Address - Fax:330-385-9376
Practice Address - Street 1:16728 SAINT CLAIR AVE
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9470
Practice Address - Country:US
Practice Address - Phone:330-385-9300
Practice Address - Fax:330-385-9376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHG29045OtherHEALTH ASSURANCE
OHAL9335241Medicare ID - Type Unspecified