Buc Independence Llc
LBN: Buc Independence Llc
Buc Independence Llc is an health care organization with primary practice located at 2025 Declaration Dr , Independence KY 41051-7983. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Urgent Care, Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Buc Independence Llc can be contacted via phone (859) 371-7900, or through So, Robert R via phone (859) 485-7900.
Contact Information
Primary practice address
2025 Declaration Dr
Independence KY 41051-7983
Phone: (859) 371-7900
Fax: (859) 371-0489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1417330150 |
|---|---|
| LBN Legal business name | Buc Independence Llc |
| DBA Doing business as | |
| Authorized official | So, Robert R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2015 |
| Last updated | Jul 19th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417330150 | NPPES |
| Ohio | MEDICAID | 0152735 | |
| Ohio | MEDICAID | 7100408220 | |
| Ohio | MEDICAID | 7100423920 | |
| Ohio | MEDICAID | 7100399770 |
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