Provider Demographics
NPI:1548291420
Name:BUSLIG, REMEL CARINO (MD)
Entity type:Individual
Prefix:
First Name:REMEL
Middle Name:CARINO
Last Name:BUSLIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 DOE MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-2159
Mailing Address - Country:US
Mailing Address - Phone:870-864-0913
Mailing Address - Fax:
Practice Address - Street 1:818 DOE MEADOW LN
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-2159
Practice Address - Country:US
Practice Address - Phone:870-864-0913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-4509207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5N362OtherBCBS
AR158497001Medicaid
AR5N362Medicare ID - Type Unspecified