Buckley, Robert L

Buckley, Robert L is an individual health care provider with primary practice located at 56 Dutch Ln , Columbus MS 39702-5500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Buckley, Robert L can be contacted via phone (662) 329-3808.

Contact Information

Primary practice address
56 Dutch Ln Columbus MS 39702-5500
Phone: (662) 329-3808
Fax: (662) 329-3873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 06164 Mississippi

Profile Details

NPI number 1356314702
LBN Legal business name Buckley, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Mar 9th, 2011 - about 13 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 1356314702 NPPES
Mississippi MEDICAID 00112393

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