Buckallew, Pamela Sue
Buckallew, Pamela Sue is an individual health care provider with primary practice located at 4311 Salisbury Road , Jacksonville FL 32216. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Buckallew, Pamela Sue can be contacted via phone (904) 332-4316.Contact Information
Primary practice address
4311 Salisbury Road
Jacksonville FL 32216
Phone: (904) 332-4316
Fax: (904) 332-4339
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP1663702 | Florida |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ARNP1663702 | Florida |
Profile Details
NPI number | 1043279466 |
---|---|
LBN Legal business name | Buckallew, Pamela Sue |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Jun 12th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043279466 | NPPES |
Florida | MEDICAID | 302869100 |
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