Buck, Madison Haley

Buck, Madison Haley is an sole proprietor health care provider with primary practice located at 602 E. Baltimore Pike Optum Serve-Lh1 , Media PA 19063. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Buck, Madison Haley can be contacted via phone (484) 444-2834.

Contact Information

Primary practice address
602 E. Baltimore Pike Optum Serve-Lh1 Media PA 19063
Phone: (484) 444-2834
Fax: (484) 444-2592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN638577 Pennsylvania

Profile Details

NPI number 1154666725
LBN Legal business name Buck, Madison Haley
Credentials DNP. DOCTOR OF NURSI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2012
Last updated Nov 21st, 2023 - about last year

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 1154666725 NPPES
Pennsylvania MEDICAID 1000072290052

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