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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720106248 | NPPES |
| Ohio | MEDICAID | 2954905 |
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