Buck, Leanne Irene

Buck, Leanne Irene is an individual health care provider with primary practice located at 20 W North St , Cortez CO 81321-3117. 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, Leanne Irene can be contacted via phone (970) 565-7011.

Contact Information

Primary practice address
20 W North St Cortez CO 81321-3117
Phone: (970) 565-7011
Fax: (970) 565-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AK605 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0004538 Colorado

Profile Details

NPI number 1407832116
LBN Legal business name Buck, Leanne Irene
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Mar 17th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407832116 NPPES
New Mexico MEDICAID 16480821
New Mexico MEDICAID 76830080

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