Buland, Justin Reeves

Buland, Justin Reeves is an individual health care provider with primary practice located at 1 Childrens Pl , Saint Louis MO 63110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Buland, Justin Reeves can be contacted via phone (314) 454-6148.

Contact Information

Primary practice address
1 Childrens Pl Saint Louis MO 63110
Phone: (314) 454-6148
Fax: (314) 454-4633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2017010897 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS015778 Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X OS015778 Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2017010897 Missouri

Profile Details

NPI number 1235391822
LBN Legal business name Buland, Justin Reeves
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Mar 25th, 2020 - about 4 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 1235391822 NPPES
Illinois MEDICAID ENROLLED

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