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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154305076 | NPPES |
| Missouri | Other | 154193 | BLUE CROSS BLUE SHIELD |
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