Provider Demographics
NPI:1730119470
Name:BUCKMILLER, LINDA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:BUCKMILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 S 169 HWY
Mailing Address - Street 2:STE C
Mailing Address - City:SMITHVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64089
Mailing Address - Country:US
Mailing Address - Phone:816-532-8966
Mailing Address - Fax:816-532-8966
Practice Address - Street 1:1503 S 169 HWY
Practice Address - Street 2:STE C
Practice Address - City:SMITHVILLE
Practice Address - State:MO
Practice Address - Zip Code:64089
Practice Address - Country:US
Practice Address - Phone:816-532-8966
Practice Address - Fax:816-532-8966
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO6582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
72129Medicare UPIN
MO0008597Medicare ID - Type Unspecified