Buckley, Jeremy

Buckley, Jeremy is an individual health care provider with primary practice located at 2405 N Columbus St Suite 100, Lancaster OH 43130-8185. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Buckley, Jeremy can be contacted via phone (740) 689-4480.

Contact Information

Primary practice address
2405 N Columbus St Suite 100 Lancaster OH 43130-8185
Phone: (740) 689-4480
Fax: (740) 277-7692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35093475 Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35093475 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35093475 Ohio

Profile Details

NPI number 1720106248
LBN Legal business name Buckley, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Sep 30th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720106248 NPPES
Ohio MEDICAID 2954905

Popular Providers