Buckley, Karen M
Buckley, Karen M is an sole proprietor health care provider with primary practice located at 7901 S 12Th St Ste 100 , Portage MI 49024-3831. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Buckley, Karen M can be contacted via phone (269) 372-3000.Contact Information
Primary practice address
7901 S 12Th St Ste 100
Portage MI 49024-3831
Phone: (269) 372-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 25MA06639100 | New Jersey |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 2009-01735 | North Carolina |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 2170261 | New York |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 4301505730 | Michigan |
Profile Details
| NPI number | 1225094659 |
|---|---|
| LBN Legal business name | Buckley, Karen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Feb 2nd, 2022 - about 2 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 | 1225094659 | NPPES |
| New York | MEDICAID | 02131235170 | |
| New York | MEDICAID | 5913510 | |
| New York | Other | 155UH |
Popular Providers
-
Messinger, Alan S
7901 S 12Th St Suite 100, Portage MI 49024 -
Mobley, David Winton
5101 Gate Parkway Suite 2, Jacksonville FL 32256-7276 -
Back, Lyle Marnin
1942 Route 70 E , Cherry Hill NJ 08003-2118 -
Elluru, Raghuram Gop
7971 Moorsbridge Rd , Portage MI 49024-4075 -
Dierberg, William J
2605 Development Dr , Green Bay WI 54311-4240 -
Hunsicker, Lisa M
7750 S Broadway Suite 150, Littleton CO 80122 -
Clawson, Kimberly
7901 S 12Th St , Portage MI 49024 -
Outlaw, Kitti K
3715 Dauphin St Ste 6A , Mobile AL 36608-1774