Bukacek, Ann Marie
Bukacek, Ann Marie is an individual health care provider with primary practice located at 160 Heritage Way Ste. 102, Kalispell MT 59901-3161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bukacek, Ann Marie can be contacted via phone (406) 755-7785.Contact Information
Primary practice address
160 Heritage Way Ste. 102
Kalispell MT 59901-3161
Phone: (406) 755-7785
Fax: (406) 755-7857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6869 | Montana |
Profile Details
| NPI number | 1295707776 |
|---|---|
| LBN Legal business name | Bukacek, Ann Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1295707776 | NPPES |
| Missouri | Other | 94705 | BC/BS |
| Missouri | MEDICAID | 0063665 | BC/BS |
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