Buckley, Jacqueline Renee
Buckley, Jacqueline Renee is an sole proprietor health care provider with primary practice located at 13030 121St Way Ne #204, Kirkland WA 98034-3008. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Buckley, Jacqueline Renee can be contacted via phone (404) 808-4486.Contact Information
Primary practice address
13030 121St Way Ne #204
Kirkland WA 98034-3008
Phone: (404) 808-4486
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO60311158 | Washington |
Profile Details
| NPI number | 1518246628 |
|---|---|
| LBN Legal business name | Buckley, Jacqueline Renee |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2011 |
| Last updated | Oct 15th, 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.
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