Buckner, Scott C

Buckner, Scott C is an individual health care provider with primary practice located at 1330 Liberty Rd Suite H, Eldersburg MD 21784-6412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Buckner, Scott C can be contacted via phone (240) 913-5900.

Contact Information

Primary practice address
1330 Liberty Rd Suite H Eldersburg MD 21784-6412
Fax: (240) 913-5901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D52179 Maryland

Profile Details

NPI number 1003887969
LBN Legal business name Buckner, Scott C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 11th, 2020 - about 4 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 1003887969 NPPES
Maryland MEDICAID 937100100

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