Buckley, John D.

Buckley, John D. is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Buckley, John D. can be contacted via phone (313) 916-2733.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 916-2733
Fax: (313) 916-9102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01038587A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01038587A Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01038587A Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301070640 Michigan

Profile Details

NPI number 1417025941
LBN Legal business name Buckley, John D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 6th, 2020 - about 5 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 1417025941 NPPES
Indiana MEDICAID 100119740

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