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Contact Information

BUCK HEALTHCARE LLC
10046 N METRO PKWY W
SUITE 115
PHOENIX, AZ85051-1437
 Phone: 602-674-5515
 Fax: 602-674-3029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for BUCK HEALTHCARE LLC

NPI Number 1003237801
LBN Legal business name BUCK HEALTHCARE LLC
Authorized official JEREMY BUCKNER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2013
Last updated 12/20/2013 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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