Buckley, Niall J
Buckley, Niall J is an sole proprietor health care provider with primary practice located at 205 Frasier St , Durham NC 27704-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Buckley, Niall J can be contacted via phone (919) 477-7003.Contact Information
Primary practice address
205 Frasier St
Durham NC 27704-2125
Phone: (919) 477-7003
Fax: (919) 471-2827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 00 40028 | North Carolina |
Profile Details
| NPI number | 1376544668 |
|---|---|
| LBN Legal business name | Buckley, Niall J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jun 7th, 2012 - about 12 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 | 1376544668 | NPPES |
| North Carolina | MEDICAID | 7919451 |
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