Search › Missouri › 282N00000X
Jacob Buckman
NPI 1538581327 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3652 Stardust Dr
Hannibal, MO 63401 - Phone
- (573) 221-8800
- Organisation at this address
- Advance Pt Therapy Of Hannibal Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 282N00000X
282N00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri