Buzek, Jack

Buzek, Jack is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Buzek, Jack can be contacted via phone (309) 779-5000.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1265492789
LBN Legal business name Buzek, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Oct 19th, 2007 - about 17 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 1265492789 NPPES
Other 91475 BCWELLMARK 7TH
Other 93353 BCWELLMARK 7TH
Other IL0181 BCWELLMARK 7TH
MEDICAID 1927541 BCWELLMARK 7TH
MEDICAID 036072236001 BCWELLMARK 7TH
Other 143150 BCWELLMARK 7TH
Other 01004627 BCWELLMARK 7TH
MEDICAID 2927541 BCWELLMARK 7TH

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