Buckingham, Charles G

Buckingham, Charles G is an individual health care provider with primary practice located at 300 N Highland Ave Ste 415 , Sherman TX 75092-7390. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Buckingham, Charles G can be contacted via phone (903) 892-8111.

Contact Information

Primary practice address
300 N Highland Ave Ste 415 Sherman TX 75092-7390
Phone: (903) 892-8111
Fax: (903) 893-8437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0814 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X D0814 Texas

Profile Details

NPI number 1164415857
LBN Legal business name Buckingham, Charles G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Dec 5th, 2011 - about 14 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 1164415857 NPPES
Texas MEDICAID 110133904

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