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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225094659 NPPES
New York MEDICAID 02131235170
New York MEDICAID 5913510
New York Other 155UH

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