Buckberg, Miriam S.
Buckberg, Miriam S. is an individual health care provider with primary practice located at 701 Enfield Street , Enfield CT 06082. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Buckberg, Miriam S. can be contacted via phone (860) 741-6058.Contact Information
Primary practice address
701 Enfield Street
Enfield CT 06082
Phone: (860) 741-6058
Fax: (860) 253-9326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35070556 | Ohio |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 017423 | Maine |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 64731 | Connecticut |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 251720 | Massachusetts |
Profile Details
NPI number | 1578549010 |
---|---|
LBN Legal business name | Buckberg, Miriam S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 16th, 2005 |
Last updated | Jan 31st, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578549010 | NPPES |
Ohio | MEDICAID | 2046637 | |
Ohio | Other | AA99889 | |
Ohio | Other | 099883 | |
Ohio | MEDICAID | 432710699 | |
Ohio | Other | 080189297 |
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