Buck, Stanley W
Buck, Stanley W is an individual health care provider with primary practice located at 11125 Dunn Rd Ste 304, St Louis MO 63136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Buck, Stanley W can be contacted via phone (314) 355-1166.Contact Information
Primary practice address
11125 Dunn Rd Ste 304
St Louis MO 63136
Phone: (314) 355-1166
Fax: (314) 355-4385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036068435 | Illinois |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MDR8729 | Missouri |
Profile Details
| NPI number | 1740251198 |
|---|---|
| LBN Legal business name | Buck, Stanley W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Feb 20th, 2024 - about last year |
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 | 1740251198 | NPPES |
| Missouri | MEDICAID | 201520111 |
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