Bucklew, John Edd

Bucklew, John Edd is an individual health care provider with primary practice located at 600 E 5Th St , Fulton MO 65251-1753. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bucklew, John Edd can be contacted via phone (573) 592-2796.

Contact Information

Primary practice address
600 E 5Th St Fulton MO 65251-1753
Phone: (573) 592-2796
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00975 Missouri

Profile Details

NPI number 1962685446
LBN Legal business name Bucklew, John Edd
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 18 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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