Buckner, Martin William

Buckner, Martin William is an sole proprietor health care provider with primary practice located at 225 E Chicago Ave # 46 , Chicago IL 60611-2991. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Buckner, Martin William can be contacted via phone (312) 227-6210.

Contact Information

Primary practice address
225 E Chicago Ave # 46 Chicago IL 60611-2991
Phone: (312) 227-6210
Fax: (312) 227-9429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 211.000186 Illinois
Other Service Providers / Specialist 174400000X 213.000220 Illinois

Profile Details

NPI number 1629308762
LBN Legal business name Buckner, Martin William
Credentials CPO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2010
Last updated Aug 22nd, 2019 - about 6 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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