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

Primary practice address
920 Church St N Concord NC 28025-2927
Phone: (704) 403-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 1295814911 NPPES
North Carolina MEDICAID 5912236
North Carolina Other P00750150
North Carolina Other 1531C

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