Buckalew, Zack Therrell

Buckalew, Zack Therrell is an individual health care provider with primary practice located at 176 Versailles Blvd , Alexandria LA 71303-2493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Buckalew, Zack Therrell can be contacted via phone (318) 445-9331.

Contact Information

Primary practice address
176 Versailles Blvd Alexandria LA 71303-2493
Phone: (318) 445-9331
Fax: (318) 619-6899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 012656 Louisiana

Profile Details

NPI number 1205829199
LBN Legal business name Buckalew, Zack Therrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Sep 28th, 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 1205829199 NPPES
Louisiana MEDICAID 1182397

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