Buckrop, Brian D

Buckrop, Brian D is an sole proprietor health care provider with primary practice located at 2102 47Th St , Moline IL 61265-3664. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Buckrop, Brian D can be contacted via phone (309) 797-6565.

Contact Information

Primary practice address
2102 47Th St Moline IL 61265-3664
Phone: (309) 797-6565
Fax: (309) 797-8586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016003038 Illinois

Profile Details

NPI number 1982674677
LBN Legal business name Buckrop, Brian D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated May 12th, 2016 - about 9 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 1982674677 NPPES
Illinois Other 480000194 RAILROAD MEDICARE
Illinois MEDICAID 016003083 RAILROAD MEDICARE

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