Bucklew, Pasqua Rose

Bucklew, Pasqua Rose is an individual health care provider with primary practice located at 301 Fisher Street , Biloxi MS 39534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bucklew, Pasqua Rose can be contacted via phone (228) 376-4879.

Contact Information

Primary practice address
301 Fisher Street Biloxi MS 39534
Phone: (228) 376-4879
Fax: (228) 376-0172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R549533 Mississippi

Profile Details

NPI number 1144222704
LBN Legal business name Bucklew, Pasqua Rose
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Sep 12th, 2012 - about 13 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 1144222704 NPPES
Mississippi MEDICAID 00123966

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