Buckner, Jessica L

Buckner, Jessica L is an individual health care provider with primary practice located at 81 Medical Center Dr Suite 2100, Brunswick ME 04011-2690. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Buckner, Jessica L can be contacted via phone (207) 725-4008.

Contact Information

Primary practice address
81 Medical Center Dr Suite 2100 Brunswick ME 04011-2690
Phone: (207) 725-4008
Fax: (207) 725-5749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X POD 1056 Maine

Profile Details

NPI number 1275518144
LBN Legal business name Buckner, Jessica L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jun 4th, 2008 - about 17 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 1275518144 NPPES
Maine MEDICAID 431916399

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