Buckman, Ronald L

Buckman, Ronald L is an sole proprietor health care provider with primary practice located at 921 Boston Tpke , Bolton CT 06043-7403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Buckman, Ronald L can be contacted via phone (860) 646-0649.

Contact Information

Primary practice address
921 Boston Tpke Bolton CT 06043-7403
Phone: (860) 646-0649
Fax: (860) 649-9195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 022901 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 022901 Connecticut

Profile Details

NPI number 1871561092
LBN Legal business name Buckman, Ronald L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jul 26th, 2013 - about 12 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 1871561092 NPPES
Connecticut MEDICAID 001229012
Connecticut Other 022901

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