Buckwalter, Diana K
Buckwalter, Diana K is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Buckwalter, Diana K can be contacted via phone (314) 251-7955.Contact Information
Primary practice address
615 S New Ballas Rd
Saint Louis MO 63141-8221
Phone: (314) 251-7955
Fax: (314) 251-7955
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 96327 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 96327 | Colorado |
Profile Details
NPI number | 1962485201 |
---|---|
LBN Legal business name | Buckwalter, Diana K |
Credentials | CNP CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2005 |
Last updated | Feb 26th, 2014 - about 10 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 | 1962485201 | NPPES |
Colorado | MEDICAID | 82831262 |
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