Buckmaster, Michael Ronald

Buckmaster, Michael Ronald is an individual health care provider with primary practice located at 3505 S Reed Rd , Kokomo IN 46902-3838. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Buckmaster, Michael Ronald can be contacted via phone (765) 453-8666.

Contact Information

Primary practice address
3505 S Reed Rd Kokomo IN 46902-3838
Phone: (765) 453-8666
Fax: (765) 453-8506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28142494A Indiana

Profile Details

NPI number 1609043827
LBN Legal business name Buckmaster, Michael Ronald
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2008
Last updated Dec 16th, 2013 - about 11 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 1609043827 NPPES
Indiana MEDICAID 200941760

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