Buckman, Christopher Anthony

Buckman, Christopher Anthony is an individual health care provider with primary practice located at 1499 6Th St , Green Bay WI 54304-2252. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Buckman, Christopher Anthony can be contacted via phone (920) 497-6161.

Contact Information

Primary practice address
1499 6Th St Green Bay WI 54304-2252
Phone: (920) 497-6161
Fax: (920) 498-0476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013196062
LBN Legal business name Buckman, Christopher Anthony
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Jan 13th, 2010 - about 14 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 1013196062 NPPES
Wisconsin MEDICAID 43711000

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