Buckmaster, Charles Vance

Buckmaster, Charles Vance is an individual health care provider with primary practice located at 8158 State Highway 59 Suite 107, Foley AL 36535-3880. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Buckmaster, Charles Vance can be contacted via phone (251) 955-1600.

Contact Information

Primary practice address
8158 State Highway 59 Suite 107 Foley AL 36535-3880
Fax: (251) 955-1602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 00020768 Alabama

Profile Details

NPI number 1194711382
LBN Legal business name Buckmaster, Charles Vance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Apr 8th, 2024 - about 8 months 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 1194711382 NPPES
Alabama MEDICAID 170120
Alabama MEDICAID 00032604

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