Bucknam, William Carlin

Bucknam, William Carlin is an sole proprietor health care provider with primary practice located at 1018 Gammon Ln , Madison WI 53719-2256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bucknam, William Carlin can be contacted via phone (608) 417-8144.

Contact Information

Primary practice address
1018 Gammon Ln Madison WI 53719-2256
Phone: (608) 417-8144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 043167 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 043167 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 54298 Wisconsin
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 54298 Wisconsin

Profile Details

NPI number 1548206360
LBN Legal business name Bucknam, William Carlin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Dec 7th, 2016 - about 10 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 1548206360 NPPES
Michigan MEDICAID 1674010

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