Provider Demographics
NPI:1689466682
Name:BUFORD, CHRISTOPHER DEWAYNE JR (COMPANION)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DEWAYNE
Last Name:BUFORD
Suffix:JR
Gender:M
Credentials:COMPANION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10665 HAMILTON PLZ APT 301
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2053
Mailing Address - Country:US
Mailing Address - Phone:402-680-5497
Mailing Address - Fax:
Practice Address - Street 1:10665 HAMILTON PLZ APT 301
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2053
Practice Address - Country:US
Practice Address - Phone:402-680-5497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty