Buckley, Brooke M

Buckley, Brooke M is an individual health care provider with primary practice located at 2333 Biddle Ave , Wyandotte MI 48192-4668. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Buckley, Brooke M can be contacted via phone (734) 246-6000.

Contact Information

Primary practice address
2333 Biddle Ave Wyandotte MI 48192-4668
Phone: (734) 246-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301502392 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X D0066466 Maryland

Profile Details

NPI number 1154514602
LBN Legal business name Buckley, Brooke M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2007
Last updated Mar 8th, 2021 - 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 1154514602 NPPES
Other 91645102 CAREFIRST MARYLAND
Other 607156013 CAREFIRST MARYLAND
MEDICAID 413562800 CAREFIRST MARYLAND
Other V7930013 CAREFIRST MARYLAND

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