Buckley, Timothy Neil

Buckley, Timothy Neil is an individual health care provider with primary practice located at 2901 Squalicum Pkwy , Bellingham WA 98225-1851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Buckley, Timothy Neil can be contacted via phone (360) 788-6993.

Contact Information

Primary practice address
2901 Squalicum Pkwy Bellingham WA 98225-1851
Fax: (360) 715-8996
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00023222 Washington

Profile Details

NPI number 1790745735
LBN Legal business name Buckley, Timothy Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 22nd, 2010 - about 15 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 1790745735 NPPES
Washington MEDICAID 1790745735
Washington Other 0188098
Washington Other 4582293
Washington Other 9041BU

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