Buckley, Heather R.
Buckley, Heather R. is an individual health care provider with primary practice located at 65 Hospital Dr , Athens OH 45701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Buckley, Heather R. can be contacted via phone (740) 566-4890.Contact Information
Primary practice address
65 Hospital Dr
Athens OH 45701
Phone: (740) 566-4890
Fax: (740) 566-4891
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | COA.16859-NP | Ohio |
Profile Details
NPI number | 1134535776 |
---|---|
LBN Legal business name | Buckley, Heather R. |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2014 |
Last updated | Sep 14th, 2021 - about 3 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 | 1134535776 | NPPES |
Ohio | MEDICAID | 0114811 | |
Ohio | MEDICAID | 3810028474 | |
Ohio | Other | P01547265 |
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