Buck, Bridget L
Buck, Bridget L is an individual health care provider with primary practice located at 1 Edmundson Pl , Council Bluffs IA 51503-4658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Buck, Bridget L can be contacted via phone (712) 396-4310.Contact Information
Primary practice address
1 Edmundson Pl
Council Bluffs IA 51503-4658
Phone: (712) 396-4310
Fax: (712) 396-7069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001919 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1400 | Nebraska |
Profile Details
| NPI number | 1437308244 |
|---|---|
| LBN Legal business name | Buck, Bridget L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2008 |
| Last updated | Jul 15th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437308244 | NPPES |
| Nebraska | MEDICAID | 47068731712 | |
| Nebraska | MEDICAID | 10026211300 | |
| Nebraska | MEDICAID | 47068731777 |
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