Bukaty, John Andrew
Bukaty, John Andrew is an individual health care provider with primary practice located at 4925 Juniper Dr , Roeland Park KS 66205-1253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bukaty, John Andrew can be contacted via phone (913) 362-4825.Contact Information
Primary practice address
4925 Juniper Dr
Roeland Park KS 66205-1253
Phone: (913) 362-4825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31267 | Kansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2004012747 | Missouri |
Profile Details
| NPI number | 1588634224 |
|---|---|
| LBN Legal business name | Bukaty, John Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Nov 16th, 2009 - about 16 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 | 1588634224 | NPPES |
| Kansas | MEDICAID | 200355030F | |
| Kansas | Other | GROUP P530000 | |
| Kansas | Other | INDIVIDUAL P5300002 | |
| Kansas | Other | P00607207 | |
| Kansas | MEDICAID | 1588634224 |
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