Buckles, Randy Scott
Buckles, Randy Scott is an individual health care provider with primary practice located at 220 South Woodbine Rd , Saint Joseph MO 64506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Buckles, Randy Scott can be contacted via phone (816) 676-1300.Contact Information
Primary practice address
220 South Woodbine Rd
Saint Joseph MO 64506
Phone: (816) 676-1300
Fax: (816) 676-1400
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 108739 | Missouri |
Profile Details
NPI number | 1447268560 |
---|---|
LBN Legal business name | Buckles, Randy Scott |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2006 |
Last updated | Dec 30th, 2009 - about 15 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 | 1447268560 | NPPES |
Missouri | Other | 24918021 | BCKC PROVIDER ID |
Missouri | Other | 431812629 | BCKC PROVIDER ID |
Missouri | MEDICAID | 249770702 | BCKC PROVIDER ID |
Missouri | Other | 27020012 | BCKC PROVIDER ID |
Missouri | MEDICAID | 505804906 | BCKC PROVIDER ID |
Missouri | Other | 2326850 | BCKC PROVIDER ID |
Missouri | Other | 385996 | BCKC PROVIDER ID |
Missouri | Other | 080128455 | BCKC PROVIDER ID |
Missouri | Other | 10001359400 | BCKC PROVIDER ID |
Missouri | Other | 100001359400 | BCKC PROVIDER ID |
Missouri | Other | 45828 | BCKC PROVIDER ID |
Missouri | Other | 080128455 | BCKC PROVIDER ID |
Missouri | Other | 385996 | BCKC PROVIDER ID |
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