Bucki, Jennifer Jo

Bucki, Jennifer Jo is an individual health care provider with primary practice located at 1801 N Senate Blvd Suite 355, Indianapolis IN 46202-1228. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Bucki, Jennifer Jo can be contacted via phone (317) 924-8425.

Contact Information

Primary practice address
1801 N Senate Blvd Suite 355 Indianapolis IN 46202-1228
Phone: (317) 924-8425
Fax: (317) 924-8424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01041552 Indiana

Profile Details

NPI number 1902803729
LBN Legal business name Bucki, Jennifer Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 2nd, 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 1902803729 NPPES
Indiana Other 000000083034 ANTHEM NUMBER
Indiana MEDICAID 200127450A ANTHEM NUMBER

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