Jack, Buffy Jo

Jack, Buffy Jo is an individual health care provider with primary practice located at 1085 Maple St , Farmington MO 63640-1955. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jack, Buffy Jo can be contacted via phone (573) 756-5353.

Contact Information

Primary practice address
1085 Maple St Farmington MO 63640-1955
Phone: (573) 756-5353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1366911851
LBN Legal business name Jack, Buffy Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2018
Last updated Nov 14th, 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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