Buckman, Penelope Joan

Buckman, Penelope Joan is an individual health care provider with primary practice located at 5 Medical Park Road , Columbia SC 29203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Buckman, Penelope Joan can be contacted via phone (803) 434-7320.

Contact Information

Primary practice address
5 Medical Park Road Columbia SC 29203
Phone: (803) 434-7320
Fax: (803) 434-3855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN435 South Carolina

Profile Details

NPI number 1902986680
LBN Legal business name Buckman, Penelope Joan
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1902986680 NPPES
South Carolina MEDICAID PNP003

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