Buckner, Carl Louis
Buckner, Carl Louis is an individual health care provider with primary practice located at 920 Church St N , Concord NC 28025-2927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Buckner, Carl Louis can be contacted via phone (704) 403-3100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2009-01192 | North Carolina |
Profile Details
| NPI number | 1295814911 |
|---|---|
| LBN Legal business name | Buckner, Carl Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Nov 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295814911 | NPPES |
| North Carolina | MEDICAID | 5912236 | |
| North Carolina | Other | P00750150 | |
| North Carolina | Other | 1531C |
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