Buckelew, Beverly S

Buckelew, Beverly S is an individual health care provider with primary practice located at 3015 Wolf Run , Poplar Bluff MO 63901-9366. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Mammography, which is considered as her primary health care specialty. Buckelew, Beverly S can be contacted via phone (573) 714-3650.

Contact Information

Primary practice address
3015 Wolf Run Poplar Bluff MO 63901-9366
Phone: (573) 714-3650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X

Profile Details

NPI number 1124203617
LBN Legal business name Buckelew, Beverly S
Credentials RT (R)(M)(CT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2008
Last updated Jan 3rd, 2008 - 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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