Buck, Bridget L

Buck, Bridget L is an individual health care provider with primary practice located at 1 Edmundson Pl , Council Bluffs IA 51503-4658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Buck, Bridget L can be contacted via phone (712) 396-4310.

Contact Information

Primary practice address
1 Edmundson Pl Council Bluffs IA 51503-4658
Phone: (712) 396-4310
Fax: (712) 396-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001919 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1400 Nebraska

Profile Details

NPI number 1437308244
LBN Legal business name Buck, Bridget L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2008
Last updated Jul 15th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437308244 NPPES
Nebraska MEDICAID 47068731712
Nebraska MEDICAID 10026211300
Nebraska MEDICAID 47068731777

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