Buck, Shannon Patrick

Buck, Shannon Patrick is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Jbsa Lackland TX 78236. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Buck, Shannon Patrick can be contacted via phone (210) 292-8200.

Contact Information

Primary practice address
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236
Phone: (210) 292-8200
Fax: (210) 292-3781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X S0144 Texas

Profile Details

NPI number 1578895744
LBN Legal business name Buck, Shannon Patrick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2010
Last updated Jan 22nd, 2020 - about 4 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 1578895744 NPPES
Texas MEDICAID 395705201

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