Buckner, Carlos L.
Buckner, Carlos L. is an sole proprietor health care provider with primary practice located at 5880 Enterprise Ste 400 , Casper WY 82609-4295. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Buckner, Carlos L. can be contacted via phone (307) 333-6567.Contact Information
Primary practice address
5880 Enterprise Ste 400
Casper WY 82609-4295
Phone: (307) 333-6567
Fax: (307) 265-2860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 8683A | Wyoming |
Profile Details
| NPI number | 1598945214 |
|---|---|
| LBN Legal business name | Buckner, Carlos L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Jun 12th, 2020 - about 5 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 | 1598945214 | NPPES |
| Wyoming | Other | 8683A | WY MEDICAL LICENSE |
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