Buckley, Timothy Anthony

Buckley, Timothy Anthony is an individual health care provider with primary practice located at 1501 S Clinton St , Baltimore MD 21224-5730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Buckley, Timothy Anthony can be contacted via phone (866) 763-2211.

Contact Information

Primary practice address
1501 S Clinton St Baltimore MD 21224-5730
Phone: (866) 763-2211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0096374 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 147954 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036132513 Illinois

Profile Details

NPI number 1003135377
LBN Legal business name Buckley, Timothy Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2010
Last updated Jul 18th, 2023 - about 2 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 1003135377 NPPES
Illinois MEDICAID 036132513

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