Buckley, Paul

Buckley, Paul is an individual health care provider with primary practice located at 360 Broadway , Bangor ME 04401-3979. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Buckley, Paul can be contacted via phone (207) 262-1703.

Contact Information

Primary practice address
360 Broadway Bangor ME 04401-3979
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 016043 Maine

Profile Details

NPI number 1932253317
LBN Legal business name Buckley, Paul
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Oct 12th, 2020 - about 4 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 1932253317 NPPES
New Jersey MEDICAID 8300003

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