Buckner, Robert Edward
Buckner, Robert Edward is an individual health care provider with primary practice located at 100 Medical Blvd , Canonsburg PA 15317-9762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Buckner, Robert Edward can be contacted via phone (724) 745-3077.Contact Information
Primary practice address
100 Medical Blvd
Canonsburg PA 15317-9762
Phone: (724) 745-3077
Fax: (724) 746-8579
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD427712 | Pennsylvania |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 26116 | West Virginia |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME133200 | Florida |
Profile Details
NPI number | 1588646624 |
---|---|
LBN Legal business name | Buckner, Robert Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2005 |
Last updated | Apr 4th, 2024 - about 8 months 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 | 1588646624 | NPPES |
Ohio | MEDICAID | 2617332 | |
Ohio | MEDICAID | 101460367000100 |
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