Bucklew-Wilder, Pamela Sue
Bucklew-Wilder, Pamela Sue is an sole proprietor health care provider with primary practice located at 30 W Mccreight Ave Suite 106, Springfield OH 45504-1842. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Bucklew-Wilder, Pamela Sue can be contacted via phone (937) 523-9820.Contact Information
Primary practice address
30 W Mccreight Ave Suite 106
Springfield OH 45504-1842
Phone: (937) 523-9820
Fax: (937) 523-9829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35061787B | Ohio |
Profile Details
| NPI number | 1639175524 |
|---|---|
| LBN Legal business name | Bucklew-Wilder, Pamela Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Aug 29th, 2012 - about 12 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 | 1639175524 | NPPES |
| Ohio | MEDICAID | 0829278 |
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