Buckau, Jeffrey Allen

Buckau, Jeffrey Allen is an sole proprietor health care provider with primary practice located at 3625 5Th St Ste 202 Mountainside Family Practice, Rapid City SD 57701-6002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Buckau, Jeffrey Allen can be contacted via phone (605) 348-2636.

Contact Information

Primary practice address
3625 5Th St Ste 202 Mountainside Family Practice Rapid City SD 57701-6002
Phone: (605) 348-2636
Fax: (605) 716-0172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5034 South Dakota

Profile Details

NPI number 1265402846
LBN Legal business name Buckau, Jeffrey Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Jul 9th, 2007 - about 17 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 1265402846 NPPES
South Dakota MEDICAID 5601743
South Dakota MEDICAID 5601742

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