Buckley, Mark
Buckley, Mark is an sole proprietor health care provider with primary practice located at 585 Riverside Dr , Painesville OH 44077-5323. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Buckley, Mark can be contacted via phone (440) 358-8334.Contact Information
Primary practice address
585 Riverside Dr
Painesville OH 44077-5323
Phone: (440) 358-8334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | OH1249247 | Ohio |
Profile Details
| NPI number | 1053710020 |
|---|---|
| LBN Legal business name | Buckley, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2014 |
| Last updated | Aug 15th, 2014 - about 11 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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