Buckley, John Joseph
Buckley, John Joseph is an sole proprietor health care provider with primary practice located at 935 Trailwood Dr , Boardman OH 44512-5062. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Buckley, John Joseph can be contacted via phone (330) 758-8146.Contact Information
Primary practice address
935 Trailwood Dr
Boardman OH 44512-5062
Phone: (330) 758-8146
Fax: (330) 758-1399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 3504815113 | Ohio |
Profile Details
| NPI number | 1114918133 |
|---|---|
| LBN Legal business name | Buckley, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | May 22nd, 2008 - about 16 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 | 1114918133 | NPPES |
| Ohio | MEDICAID | 0631169 |
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