Buckley, Jill C.

Buckley, Jill C. is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Buckley, Jill C. can be contacted via phone (858) 657-8860.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (858) 657-8860
Fax: (858) 228-1740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A77631 California

Profile Details

NPI number 1730198128
LBN Legal business name Buckley, Jill C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Apr 27th, 2018 - about 6 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 1730198128 NPPES
Massachusetts MEDICAID 110077554A

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