Sean C Buck
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lake Isabella, CA
NPI 1043876816 · NPPES record last updated May 16, 2019
Key facts
- NPI
- 1043876816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2731 Nugget Ave
Lake Isabella, CA 93240-9456 - Phone
- (760) 379-3412
- NPI assigned
- May 16, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Mailing address
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone (760) 379-3412
Other providers in Lake Isabella, CA
- Darin Brazell
- Holly Lynn Breiding
- Amber Dawn Brill- McCormack
- Cindy Carol Brown
- Jillian Brown
- Deborah Mariana Burger-Texeira
- Christopher R Burrows
- Cristian Alejandro Busio Ramirez
- California Em-I Medical Services, a Medical Corporation
- Nancy J Cantrell
All providers in Lake Isabella, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.