Buchbaum, Eric Jason

Buchbaum, Eric Jason is an individual health care provider with primary practice located at 1 High St , Wakefield RI 02879-3103. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Buchbaum, Eric Jason can be contacted via phone (401) 789-1422.

Contact Information

Primary practice address
1 High St Wakefield RI 02879-3103
Phone: (401) 789-1422
Fax: (401) 782-6810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DPM00302 Rhode Island

Profile Details

NPI number 1952365652
LBN Legal business name Buchbaum, Eric Jason
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Mar 20th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952365652 NPPES
Other 0000021254 GENERIC4
Other 11092609 GENERIC4
Other 407225 GENERIC4
Other SSN#-TAX ID# 2049285 GENERIC4
Other ZDZ388 GENERIC4
Other 2382382 GENERIC4
Other 4024 GENERIC4
Other 5095486002 GENERIC4
Other AETNA COM 7342159 GENERIC4
Other PT SSN# GENERIC4
Other 204928511 GENERIC4
Other 0000031650 GENERIC4
Other 3916940001 GENERIC4
Other 407225 GENERIC4
Other 432037955 GENERIC4
Other 480034977 GENERIC4
MEDICAID 7009003 GENERIC4
Other AA69503 GENERIC4

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