Buckley, Jamie Burks

Buckley, Jamie Burks is an individual health care provider with primary practice located at 1609 Ridge Rd Raleigh, Raleigh NC 27607-6736. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Buckley, Jamie Burks can be contacted via phone (919) 601-2592.

Contact Information

Primary practice address
1609 Ridge Rd Raleigh Raleigh NC 27607-6736
Phone: (919) 601-2592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 6036 North Carolina

Profile Details

NPI number 1902939341
LBN Legal business name Buckley, Jamie Burks
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 18 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 1902939341 NPPES
North Carolina MEDICAID 7212128

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