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
Fax: (860) 253-9326
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578549010 NPPES
Ohio MEDICAID 2046637
Ohio Other AA99889
Ohio Other 099883
Ohio MEDICAID 432710699
Ohio Other 080189297

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