Buckallew, Susan

Buckallew, Susan is an sole proprietor health care provider with primary practice located at 1101 Jamison St , Kirksville MO 63501-3943. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Buckallew, Susan can be contacted via phone (660) 665-1962.

Contact Information

Primary practice address
1101 Jamison St Kirksville MO 63501-3943
Phone: (660) 665-1962
Fax: (660) 627-0642
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2010032751 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1386952604
LBN Legal business name Buckallew, Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2010
Last updated Jan 31st, 2022 - about 3 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.

Request for update

Popular Providers