Buckley, Louis V

Buckley, Louis V is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Buckley, Louis V can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Fax: (860) 442-0073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 020170 Connecticut

Profile Details

NPI number 1275543043
LBN Legal business name Buckley, Louis V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 9th, 2007 - about 17 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 1275543043 NPPES
Other 20170CT01 ANTHEM BLUE CROSS
Other 0012170CL ANTHEM BLUE CROSS
Other 75621 ANTHEM BLUE CROSS
Other 30503 ANTHEM BLUE CROSS
MEDICAID 4041679 ANTHEM BLUE CROSS
MEDICAID 4024972 ANTHEM BLUE CROSS
Other NLS127 ANTHEM BLUE CROSS

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