Buck, Johanna Lydia
Buck, Johanna Lydia is an individual health care provider with primary practice located at 400 Crater Lake Ave , Medford OR 97504-6808. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Buck, Johanna Lydia can be contacted via phone (541) 613-6505.Contact Information
Primary practice address
400 Crater Lake Ave
Medford OR 97504-6808
Phone: (541) 613-6505
Fax: (541) 770-9212
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 05897 | Oregon |
Profile Details
NPI number | 1396898441 |
---|---|
LBN Legal business name | Buck, Johanna Lydia |
Credentials | MS, PT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2007 |
Last updated | Feb 27th, 2019 - about 6 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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