Buckley, Jane

Buckley, Jane is an individual health care provider with primary practice located at 100 Broadway , North Haven CT 06473-2365. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Buckley, Jane can be contacted via phone (203) 234-0365.

Contact Information

Primary practice address
100 Broadway North Haven CT 06473-2365
Fax: (203) 234-0801
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002431 Connecticut

Profile Details

NPI number 1417913740
LBN Legal business name Buckley, Jane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 24th, 2015 - about 9 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 1417913740 NPPES
Other P2528334 OXFORD
Other 1932350105 OXFORD
Other 298056 OXFORD
Other 454047 OXFORD
Other 400002431CT02 OXFORD
Other 2208919 OXFORD

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