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:
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Health care specialties

SpecialtyCodeLicense #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 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 1134535776 NPPES
Ohio MEDICAID 0114811
Ohio MEDICAID 3810028474
Ohio Other P01547265

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