Buck, Andrew William
Buck, Andrew William is an individual health care provider with primary practice located at 10 Shelton Mcmurphey Blvd , Eugene OR 97401-4928. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Buck, Andrew William can be contacted via phone (541) 485-2711.Contact Information
Primary practice address
10 Shelton Mcmurphey Blvd
Eugene OR 97401-4928
Phone: (541) 485-2711
Fax: (888) 975-0250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | T-17-219 | Oregon |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1043418007 |
---|---|
LBN Legal business name | Buck, Andrew William |
Credentials | M.A., QMHP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2007 |
Last updated | Jul 21st, 2022 - about 2 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 | 1043418007 | NPPES |
Oregon | MEDICAID | 500663308 |
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