Buckel, Larry J

Buckel, Larry J is an individual health care provider with primary practice located at 53 South Park Blvd , Greenwood IN 46143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Buckel, Larry J can be contacted via phone (317) 889-7546.

Contact Information

Primary practice address
53 South Park Blvd Greenwood IN 46143
Phone: (317) 889-7546
Fax: (317) 889-2482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 01022110 Indiana

Profile Details

NPI number 1811090939
LBN Legal business name Buckel, Larry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1811090939 NPPES
Indiana Other 2053534001 CIGNA
Indiana Other 000000075125 CIGNA
Indiana Other 4073522 CIGNA

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