Buback, Debra

Buback, Debra is an individual health care provider with primary practice located at 12855 N 40 Dr Suite 375, Saint Louis MO 63141-8635. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Buback, Debra can be contacted via phone (314) 567-6071.

Contact Information

Primary practice address
12855 N 40 Dr Suite 375 Saint Louis MO 63141-8635
Phone: (314) 567-6071
Fax: (314) 567-7961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 063206 Missouri

Profile Details

NPI number 1154305076
LBN Legal business name Buback, Debra
Credentials RN, MSN, ANP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Feb 8th, 2008 - about 17 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 1154305076 NPPES
Missouri Other 154193 BLUE CROSS BLUE SHIELD

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