Buckey, Jay Clark

Buckey, Jay Clark is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc Department Of Medicine, Lebanon NH 03756-1000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Buckey, Jay Clark can be contacted via phone (603) 650-6012.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc Department Of Medicine Lebanon NH 03756-1000
Phone: (603) 650-6012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10413 New Hampshire
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 10413 New Hampshire
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 10413 New Hampshire

Profile Details

NPI number 1639289168
LBN Legal business name Buckey, Jay Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 30th, 2019 - about 5 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 1639289168 NPPES
Vermont MEDICAID 0RE5652
Vermont MEDICAID 30200651

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